go back

Senior Wellness Visit, New Patient

New Jersey 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 physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $120 to $191.

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.

How much rates vary

Facilitymedian $145 · 10th to 90th $107 to $229Professionalmedian $145 · 10th to 90th $105 to $257
$100$200$500facility $145professional $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
$107.15
Median
$144.54
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$251.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$186.21
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$338.84
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$295.12

Where New Jersey 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.

New Jersey· 34th 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.