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Well-Child Checkup, School Age

Missouri 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?

$97.72

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $100 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$97.72$75.86 to $132
FacilityA hospital or hospital-owned outpatient department$100$77.62 to $132

How much rates vary

Facilitymedian $100 · 10th to 90th $63 to $170Professionalmedian $98 · 10th to 90th $63 to $174
$50$100$200$500facility $100professional $98

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
$79.43
Median
$123.03
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$107.15
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$660.69
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$158.49

Where Missouri 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.

Missouri· 26th of 51

$97.72

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.