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Well-Teen Checkup

New Jersey 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?

$102

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $83.18 to $141.

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 $117 · 10th to 90th $71 to $309Professionalmedian $102 · 10th to 90th $71 to $209
$50$100$200$500facility $117professional $102

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
$70.79
Median
$117.49
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$131.83
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$213.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$131.83
Typical High
$234.42
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$102.33
Typical High
$194.98

Where New Jersey 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.

New Jersey· 35th of 51

$102

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.