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Well-Child Checkup, School Age

Utah 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?

$105

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $85.11 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$105$79.43 to $158
FacilityA hospital or hospital-owned outpatient department$85.11$63.10 to $89.13

How much rates vary

Facilitymedian $85 · 10th to 90th $63 to $89Professionalmedian $105 · 10th to 90th $63 to $347
$100$200$500facility $85professional $105

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$165.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$134.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$154.88

Where Utah 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.

Utah· 18th of 51

$105

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.