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Well-Child Checkup, Early Childhood

Michigan rates for HCPCS 99392

This is a preventive checkup for an established young child, generally in the toddler and preschool years, focused on tracking growth and development and catching potential health concerns early. It typically includes a physical exam, developmental screening, and updates to vaccinations as needed. It's not used to treat a specific illness or new health complaint.

Rates data updated July 2026.

How much does Well-Child Checkup, Early Childhood cost?

$97.72

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $91.20 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$97.72$77.62 to $135
FacilityA hospital or hospital-owned outpatient department$91.20$77.62 to $107

How much rates vary

Facilitymedian $91 · 10th to 90th $78 to $135Professionalmedian $98 · 10th to 90th $62 to $209
$100$200facility $91professional $98

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
$77.62
Median
$77.62
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$213.80
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$131.83
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$154.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$177.83

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· 25th of 51

$97.72

MN $178DE $83.18

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.