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Well-Teen Checkup

South 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.

How much does Well-Teen Checkup cost?

$107

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $112 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$107$83.18 to $132
FacilityA hospital or hospital-owned outpatient department$112$89.13 to $141

How much rates vary

Facilitymedian $112 · 10th to 90th $74 to $186Professionalmedian $107 · 10th to 90th $72 to $200
$50$100$200facility $112professional $107

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
$89.13
Median
$89.13
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$141.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$147.91

Where South Carolina 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.

South Carolina· 31st of 51

$107

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.