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Well-Child Checkup, School Age

South 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?

$95.50

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 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 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$95.50$74.13 to $117
FacilityA hospital or hospital-owned outpatient department$102$79.43 to $126

How much rates vary

Facilitymedian $102 · 10th to 90th $66 to $162Professionalmedian $95 · 10th to 90th $63 to $174
$50$100$200facility $102professional $95

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
$89.13
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$173.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$128.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$131.83

Where South 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.

South Carolina· 30th of 51

$95.50

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.