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Well-Teen Checkup

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $105 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$110$87.10 to $145
FacilityA hospital or hospital-owned outpatient department$105$87.10 to $135

How much rates vary

Facilitymedian $105 · 10th to 90th $78 to $174Professionalmedian $110 · 10th to 90th $72 to $195
$10.0$50.0$200.0$1.0Kfacility $105professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$204.17
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$199.53
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
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$112.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$151.36
Sentara
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$181.97

Where Virginia sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $110 · 27th of 51
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.