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Annual Checkup, Established Patient (Ages 40-64)

Connecticut 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.

Facilitymedian $174 · 10th–90th $115$2290%20%10th90th$174Professionalmedian $158 · 10th–90th $85$3310%5%10th90th$158$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$114.82
Median
$173.78
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$245.47
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$165.96
Typical High
$263.03
Health New England
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$245.47