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Well-Teen Checkup

Maine 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?

$112

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $89.13 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,233 · 10th to 90th $93 to $16,982Professionalmedian $112 · 10th to 90th $71 to $234
$100$200$500$1K$2K$5K$10Kfacility $10,233professional $112

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
$93.33
Median
$10,232.93
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$234.42
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$229.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$288.40
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$16,982.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$239.88

Where Maine 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.

Maine· 25th of 51

$112

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.