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Well-Child Checkup, School Age

Maine 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?

$102

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $79.43 to $148.

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.

How much rates vary

Facilitymedian $9,120 · 10th to 90th $85 to $15,488Professionalmedian $102 · 10th to 90th $62 to $209
$100$200$500$1K$2K$5K$10Kfacility $9,120professional $102

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
$85.11
Median
$9,120.11
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$204.17
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$208.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$257.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$15,488.17
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$218.78

Where Maine 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.

Maine· 22nd of 51

$102

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.