go back

Well-Teen Checkup

Ohio 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 $89 · 10th–90th $65$1700%20%10th90th$89Professionalmedian $102 · 10th–90th $71$2000%10%20%10th90th$102$0.1$0.5$2.0$10.0$50.0$200.0

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
$64.57
Median
$89.13
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$151.36
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$109.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$114.82
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$213.80
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$234.42
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$109.65
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$186.21