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Well-Child Checkup, School Age

Nebraska 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?

$123

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $110 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 7 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$126$87.10 to $195
FacilityA hospital or hospital-owned outpatient department$110$83.18 to $148

How much rates vary

Facilitymedian $110 · 10th to 90th $66 to $191Professionalmedian $126 · 10th to 90th $66 to $229
$50$100$200$500facility $110professional $126

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
$69.18
Median
$69.18
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$0.11
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$229.09

Where Nebraska 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.

Nebraska· 9th of 51

$123

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.