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Well-Child Checkup, School Age

Tennessee 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?

$93.33

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 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 6 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$93.33$74.13 to $120
FacilityA hospital or hospital-owned outpatient department$105$83.18 to $174

How much rates vary

Facilitymedian $105 · 10th to 90th $72 to $468Professionalmedian $93 · 10th to 90th $62 to $178
$100$200$500facility $105professional $93

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
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$169.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$162.18

Where Tennessee 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.

Tennessee· 33rd of 51

$93.33

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.