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Well-Child Checkup, School Age

Connecticut rates for HCPCS 99393

This is a preventive checkup for an established school-age child, focused on tracking growth and development and catching potential health concerns early. It typically includes a physical exam, developmental and behavioral screening, and vaccine updates 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, School Age cost?

$93.33

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $74.13 to $135.

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.

How much rates vary

Facilitymedian $129 · 10th to 90th $91 to $234Professionalmedian $93 · 10th to 90th $62 to $204
$50$100$200$500facility $129professional $93

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
$91.20
Median
$128.82
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$204.17
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$123.03
Typical High
$208.93
Health New England
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$208.93

Where Connecticut sits

The same service costs 2.2 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.

Connecticut· 37th of 51

$93.33

MN $182DE $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.