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Well-Teen Checkup

North Carolina 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.

Facilitymedian $112 · 10th–90th $78$2090%10%10th90th$112Professionalmedian $132 · 10th–90th $83$2510%5%10%10th90th$132$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$213.80
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$213.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$288.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$128.82
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$173.78
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44