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Well-Child Checkup, School Age

West Virginia 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?

$110

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $97.72 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 5 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$120$89.13 to $158
FacilityA hospital or hospital-owned outpatient department$97.72$87.10 to $117

How much rates vary

Facilitymedian $98 · 10th to 90th $68 to $132Professionalmedian $120 · 10th to 90th $68 to $209
$20$50$100$200facility $98professional $120

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
$67.61
Median
$107.15
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$93.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$524.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$138.04

Where West Virginia 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.

West Virginia· 14th of 51

$110

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.