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Senior Wellness Visit, New Patient

Michigan 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?

$145

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $166 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$145$123 to $178
FacilityA hospital or hospital-owned outpatient department$166$129 to $166

How much rates vary

Facilitymedian $166 · 10th to 90th $129 to $174Professionalmedian $145 · 10th to 90th $105 to $229
$100$200$500facility $166professional $145

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
$128.82
Median
$128.82
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$354.81
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$194.98
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$251.19
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$295.12
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$309.03

Where Michigan 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.

Michigan· 33rd of 51

$145

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.