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Well-Teen Checkup

Wisconsin 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 $107 · 10th–90th $65$2140%10%10th90th$107Professionalmedian $166 · 10th–90th $76$3470%5%10th90th$166$10.0$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
$109.65
Median
$199.53
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$190.55
Typical High
$331.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$199.53
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$112.20
Network Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$177.83
Typical High
$251.19
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$199.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$331.13
Quartz
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$229.09
Typical High
$724.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$190.55
Security Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$208.93
Typical High
$295.12