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Well-Teen Checkup

Iowa rates for HCPCS 99394

This is a preventive checkup for an established adolescent patient, focused on tracking growth and development, screening for physical and mental health concerns, and updating vaccinations. It typically includes a physical exam and age-appropriate counseling on topics like nutrition, safety, and healthy habits. It's not used to treat a specific illness or new health complaint.

Rates data updated July 2026.

How much does Well-Teen Checkup cost?

$138

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $115 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 8 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$138$100 to $204
FacilityA hospital or hospital-owned outpatient department$115$85.11 to $162

How much rates vary

Facilitymedian $115 · 10th to 90th $66 to $219Professionalmedian $138 · 10th to 90th $81 to $316
$50$100$200$500facility $115professional $138

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
$134.90
Median
$177.83
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$302.00
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$199.53

Where Iowa sits

The same service costs 2.1 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.

Iowa· 9th of 51

$138

MN $195DE $91.20

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.