go back

Well-Child Checkup, Early Childhood

Wisconsin 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?

$138

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $95.50 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 12 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$141$87.10 to $245
FacilityA hospital or hospital-owned outpatient department$95.50$70.79 to $132

How much rates vary

Facilitymedian $95 · 10th to 90th $58 to $204Professionalmedian $141 · 10th to 90th $68 to $324
$1$5$20$100$500facility $95professional $141

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
$0.79
Median
$186.21
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$302.00
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$181.97
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$138.04
Network Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$158.49
Typical High
$229.09
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$181.97
Quartz
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$302.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$467.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$204.17
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$158.49
Security Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$269.15

Where Wisconsin 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.

Wisconsin· 4th of 51

$138

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.