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Well-Child Checkup, School Age

Vermont 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 physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $79.43 to $162.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $56 to $141Professionalmedian $105 · 10th to 90th $63 to $372
$100$200$500facility $76professional $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
$72.44
Median
$72.44
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$186.21
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$208.93

Where Vermont 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.

Vermont· 19th 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.