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Well-Child Checkup, School Age

North Dakota 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?

$166

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $105 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 5 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$170$95.50 to $234
FacilityA hospital or hospital-owned outpatient department$105$77.62 to $107

How much rates vary

Facilitymedian $105 · 10th to 90th $74 to $166Professionalmedian $170 · 10th to 90th $74 to $269
$100$200$500facility $105professional $170

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
$77.62
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$138.04
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$208.93
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$234.42

Where North Dakota 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 Dakota· 2nd of 51

$166

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.