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Senior Wellness Visit, New Patient

Maine 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?

$166

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $120 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 6 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$166$129 to $240
FacilityA hospital or hospital-owned outpatient department$120$120 to $120

How much rates vary

Facilitymedian $120 · 10th to 90th $107 to $120Professionalmedian $166 · 10th to 90th $107 to $347
$100$200$500facility $120professional $166

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$323.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$407.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$346.74

Where Maine sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 12th of 51

$166

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.