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Well-Teen Checkup

Rhode Island 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?

$110

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $85.11 to $126.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $195 · 10th to 90th $95 to $302Professionalmedian $110 · 10th to 90th $74 to $174
$100$200$500facility $195professional $110

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$181.97

Where Rhode Island 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.

Rhode Island· 26th of 51

$110

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.