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Well-Child Checkup, School Age

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 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$102$77.62 to $138
FacilityA hospital or hospital-owned outpatient department$107$81.28 to $240

How much rates vary

Facilitymedian $107 · 10th to 90th $68 to $240Professionalmedian $102 · 10th to 90th $65 to $234
$100$200$500facility $107professional $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
$67.61
Median
$107.15
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$251.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$218.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$123.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$154.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$177.83

Where Michigan 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.

Michigan· 21st 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.