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Well-Child Checkup, School Age

Iowa 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?

$126

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $107 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$126$91.20 to $195
FacilityA hospital or hospital-owned outpatient department$107$75.86 to $155

How much rates vary

Facilitymedian $107 · 10th to 90th $60 to $209Professionalmedian $126 · 10th to 90th $71 to $347
$50$100$200$500facility $107professional $126

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
$125.89
Median
$173.78
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$134.90
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$162.18
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$218.78
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$181.97

Where Iowa 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.

Iowa· 7th of 51

$126

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.