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Annual Checkup, Established Patient (Ages 40-64)

Alaska rates for HCPCS 99396

A comprehensive yearly wellness visit for an adult patient between about 40 and 64 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 like screenings, immunizations, and healthy lifestyle habits that become more relevant with age. 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 40-64) cost?

$240

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $234 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 byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$191 to $324
FacilityA hospital or hospital-owned outpatient department$234$191 to $269

How much rates vary

Facilitymedian $234 · 10th to 90th $166 to $302Professionalmedian $240 · 10th to 90th $112 to $355
$100$200$500facility $234professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$234.42
Typical High
$302.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$190.55
Typical High
$251.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$95.50
Typical High
$120.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$28.18
Typical High
$36.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$19.05
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$144.54
Typical High
$338.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$234.42
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$239.88
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$95.50
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.22
Median
$28.18
Typical High
$36.31
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$19.05
Typical High
$23.99
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$354.81
Providence
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$234.42
Typical High
$346.74
Providence
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$186.21
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$269.15
Typical High
$338.84

Where Alaska 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.

Alaska· 1st of 51

$240

AK $240DC $89.13

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.