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Well-Teen Checkup

West 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?

$117

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $107 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 5 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$117$93.33 to $178
FacilityA hospital or hospital-owned outpatient department$107$89.13 to $126

How much rates vary

Facilitymedian $107 · 10th to 90th $78 to $135Professionalmedian $117 · 10th to 90th $76 to $224
$100$200facility $107professional $117

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
$112.20
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$229.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$575.44
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$154.88

Where West Virginia sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 16th of 51

$117

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.