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Well-Child Checkup, School Age

North Carolina 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?

$117

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $102 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$120$87.10 to $166
FacilityA hospital or hospital-owned outpatient department$102$81.28 to $132

How much rates vary

Facilitymedian $102 · 10th to 90th $68 to $186Professionalmedian $120 · 10th to 90th $74 to $229
$50$100$200$500facility $102professional $120

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
$74.13
Median
$173.78
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$194.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$165.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$263.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$117.49
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$158.49
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where North Carolina 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.

North Carolina· 10th of 51

$117

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.