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Well-Child Checkup, School Age

Illinois 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?

$100

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $120 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$100$79.43 to $135
FacilityA hospital or hospital-owned outpatient department$120$95.50 to $162

How much rates vary

Facilitymedian $120 · 10th to 90th $65 to $219Professionalmedian $100 · 10th to 90th $68 to $204
$100$200$500facility $120professional $100

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
$64.57
Median
$120.23
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$186.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$263.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$194.98

Where Illinois 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.

Illinois· 24th of 51

$100

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.