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Senior Wellness Visit, New Patient

Illinois rates for HCPCS 99387

This is a comprehensive preventive checkup for a patient age 65 or older who is new to the practice, including a health history, physical exam, and counseling tailored to older adults. It is a routine wellness visit rather than a visit for a specific illness or injury.

Rates data updated July 2026.

How much does Senior Wellness Visit, New Patient cost?

$155

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$126 to $209
FacilityA hospital or hospital-owned outpatient department$200$191 to $251

How much rates vary

Facilitymedian $200 · 10th to 90th $151 to $339Professionalmedian $155 · 10th to 90th $110 to $263
$50.0$100.0$200.0$500.0facility $200professional $155

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$302.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$398.11
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$177.83
Typical High
$302.00

Where Illinois sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $155 · 24th of 51
MN $269DE $129

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.