A comprehensive yearly wellness visit for an adult patient between about 18 and 39 who has been seen by this provider before, focused on preventive care rather than an existing illness. It typically includes a full health history update, an age-appropriate physical exam, and counseling on preventive topics such as screenings, immunizations, and lifestyle. It's meant to catch potential health issues early rather than address a current specific complaint.
Rates data updated October 2026.
How much does Annual Checkup, Established Patient (Ages 18-39) cost?
$97.72
Typical negotiated rate. In Louisiana, October 2026.
Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $112 from a hospital or other facility.
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 6 insurance carriers under federal price transparency rules.
Prices by location type
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$97.72
$83.18 to $117
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$112
$112 to $162
How much rates vary
Facilitymedian $112 · 10th to 90th $112 to $214Professionalmedian $98 · 10th to 90th $71 to $145
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$120.23
Typical High
$204.17
Facility
None
$93.33
$120.23
$204.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$117.49
Typical High
$134.90
Professional
None
$89.13
$117.49
$134.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$44.67
Median
$50.12
Typical High
$61.66
Professional
52 · Reduced service
$44.67
$50.12
$61.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.49
Median
$15.14
Typical High
$18.62
Professional
55 · Aftercare only
$13.49
$15.14
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.91
Median
$10.00
Typical High
$12.30
Professional
56 · Pre-op care only
$8.91
$10.00
$12.30
Ambetter
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$134.90
Typical High
$165.96
Professional
None
$97.72
$134.90
$165.96
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$173.78
Typical High
$257.04
Facility
None
$95.50
$173.78
$257.04
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$100.00
Typical High
$112.20
Professional
None
$77.62
$100.00
$112.20
Christus
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Facility
None
$112.20
$112.20
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$75.86
Typical High
$128.82
Professional
None
$56.23
$75.86
$128.82
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$95.50
Typical High
$151.36
Professional
None
$69.18
$95.50
$151.36
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$97.72
Median
$114.82
Typical High
$173.78
Professional
25 · Same-day visit
$97.72
$114.82
$173.78
Ambetter
Setting
Professional
Modifier
GE · Resident, primary care exception
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Professional
GE · Resident, primary care exception
$81.28
$81.28
$81.28
Where Louisiana sits
The same service costs 2.7 times more in Alaska than in Washington, DC. 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.