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Well-Teen Checkup

Utah 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 $98 · 10th–90th $71$980%20%40%10th$98Professionalmedian $117 · 10th–90th $71$3470%5%10%10th90th$117$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$169.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$190.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$158.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$169.82