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Well-Teen Checkup

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $110 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$112$87.10 to $148
FacilityA hospital or hospital-owned outpatient department$110$91.20 to $123

How much rates vary

Facilitymedian $110 · 10th to 90th $87 to $148Professionalmedian $112 · 10th to 90th $71 to $229
$20.0$50.0$100.0$200.0$500.0facility $110professional $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
$87.10
Median
$109.65
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$251.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$239.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$134.90
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$173.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$199.53

Where Michigan 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.

Michigan $112 · 24th 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.