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Well-Teen Checkup

Vermont 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 $85 · 10th–90th $65$1550%20%40%10th90th$85Professionalmedian $115 · 10th–90th $72$2510%10%10th90th$115$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
$83.18
Median
$83.18
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$204.17
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$229.09