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Well-Teen Checkup

Washington 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 $129 · 10th–90th $72$2400%5%10%10th90th$129Professionalmedian $123 · 10th–90th $74$3020%5%10%10th90th$123$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$204.17
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$288.40
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$109.65
Typical High
$213.80
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$223.87
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$251.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$173.78