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Senior Wellness Visit, New Patient

North Carolina 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?

$191

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 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 8 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$191$141 to $263
FacilityA hospital or hospital-owned outpatient department$166$135 to $214

How much rates vary

Facilitymedian $166 · 10th to 90th $115 to $302Professionalmedian $191 · 10th to 90th $123 to $347
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $166professional $191

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
$123.03
Median
$316.23
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$323.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$302.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$416.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$186.21
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$263.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29

Where North Carolina 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.

North Carolina $191 · 6th 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.