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Well-Teen Checkup

New Mexico 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 negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $117 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 7 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$102$81.28 to $126
FacilityA hospital or hospital-owned outpatient department$117$91.20 to $155

How much rates vary

Facilitymedian $117 · 10th to 90th $74 to $219Professionalmedian $102 · 10th to 90th $68 to $191
$100$200$500$1Kfacility $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
$114.82
Median
$181.97
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$204.17

Where New Mexico 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 Mexico· 39th 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.