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Well-Teen Checkup

Maryland 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?

$105

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $81.28 to $151.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $49 to $112Professionalmedian $105 · 10th to 90th $68 to $229
$50$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
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$177.83

Where Maryland 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.

Maryland· 33rd of 51

$105

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.