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Well-Teen Checkup

Illinois 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?

$115

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $135 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$115$89.13 to $151
FacilityA hospital or hospital-owned outpatient department$135$105 to $178

How much rates vary

Facilitymedian $135 · 10th to 90th $74 to $240Professionalmedian $115 · 10th to 90th $76 to $209
$20.0$50.0$100.0$200.0$500.0facility $135professional $115

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
$74.13
Median
$134.90
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$208.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$281.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$213.80

Where Illinois sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $115 · 18th of 51
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.