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Well-Child Checkup, School Age

New Jersey 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?

$91.20

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $70.79 to $126.

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.

How much rates vary

Facilitymedian $89 · 10th to 90th $62 to $148Professionalmedian $91 · 10th to 90th $62 to $186
$50$100$200$500facility $89professional $91

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
$61.66
Median
$89.13
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$117.49
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$194.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$123.03
Typical High
$213.80
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$93.33
Typical High
$177.83

Where New Jersey 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.

New Jersey· 39th of 51

$91.20

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.