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Well-Child Checkup, School Age

Kentucky 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?

$89.13

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $83.18 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$91.20$74.13 to $120
FacilityA hospital or hospital-owned outpatient department$83.18$67.61 to $91.20

How much rates vary

Facilitymedian $83 · 10th to 90th $65 to $107Professionalmedian $91 · 10th to 90th $62 to $204
$100$200$500facility $83professional $91

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
$69.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$107.15
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$112.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$125.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$141.25

Where Kentucky 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.

Kentucky· 45th of 51

$89.13

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.