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Well-Child Checkup, Early Childhood

South Dakota 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?

$151

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $102 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$151$97.72 to $240
FacilityA hospital or hospital-owned outpatient department$102$75.86 to $141

How much rates vary

Facilitymedian $102 · 10th to 90th $63 to $178Professionalmedian $151 · 10th to 90th $74 to $263
$50$100$200facility $102professional $151

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
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$154.88
Typical High
$263.03
Avera
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$173.78
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$234.42
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$208.93
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$190.55

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· 2nd of 51

$151

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.