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Well-Child Checkup, Early Childhood

Montana 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?

$115

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $126 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 6 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$112$85.11 to $166
FacilityA hospital or hospital-owned outpatient department$126$97.72 to $174

How much rates vary

Facilitymedian $126 · 10th to 90th $74 to $186Professionalmedian $112 · 10th to 90th $62 to $257
$50$100$200$500facility $126professional $112

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
Professional
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$66,069.34
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$186.21
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$194.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$181.97

Where Montana 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.

Montana· 10th of 51

$115

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.