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Well-Teen Checkup

South Dakota 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?

$166

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $170 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 8 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$170$110 to $251
FacilityA hospital or hospital-owned outpatient department$112$85.11 to $158

How much rates vary

Facilitymedian $112 · 10th to 90th $72 to $195Professionalmedian $170 · 10th to 90th $87 to $288
$50$100$200facility $112professional $170

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
$87.10
Median
$87.10
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$186.21
Typical High
$295.12
Avera
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$257.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$229.09
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$208.93

Where South Dakota 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 Dakota· 3rd of 51

$166

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.