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Senior Wellness Visit, New Patient

South Dakota 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?

$162

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 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$162$126 to $251
FacilityA hospital or hospital-owned outpatient department$166$126 to $234

How much rates vary

Facilitymedian $166 · 10th to 90th $105 to $282Professionalmedian $162 · 10th to 90th $107 to $347
$50$100$200$500facility $166professional $162

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
$104.71
Median
$141.25
Typical High
$380.19
Avera
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$288.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$371.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$354.81
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$295.12

Where South Dakota 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.

South Dakota· 14th of 51

$162

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.