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Well-Teen Checkup

Montana 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?

$129

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $141 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 6 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$129$93.33 to $182
FacilityA hospital or hospital-owned outpatient department$141$110 to $186

How much rates vary

Facilitymedian $141 · 10th to 90th $83 to $204Professionalmedian $129 · 10th to 90th $71 to $347
$50$100$200$500facility $141professional $129

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
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$66,069.34
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$239.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$204.17
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$213.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$199.53

Where Montana 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.

Montana· 11th of 51

$129

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.