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Well-Child Checkup, Early Childhood

New Mexico 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?

$93.33

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $105 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 7 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$89.13$70.79 to $110
FacilityA hospital or hospital-owned outpatient department$105$81.28 to $141

How much rates vary

Facilitymedian $105 · 10th to 90th $65 to $200Professionalmedian $89 · 10th to 90th $60 to $166
$50$100$200$500$1Kfacility $105professional $89

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
$100.00
Median
$165.96
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$181.97

Where New Mexico 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 Mexico· 31st of 51

$93.33

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.