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Preventive Visit, Established Patient, Age 65+

Alabama rates for HCPCS 99397

This is a routine preventive checkup for an established patient age 65 or older, focused on prevention rather than a specific complaint. It typically includes a physical exam, review of medications and chronic conditions, and screening recommendations appropriate for the patient's age.

Rates data updated July 2026.

How much does Preventive Visit, Established Patient, Age 65+ cost?

$117

Typical physician fee. In Alabama, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $93.33 to $145.

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.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $182Professionalmedian $117 · 10th to 90th $81 to $204
$100$200facility $100professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$181.97

Where Alabama 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.

Alabama· 45th of 51

$117

MN $224DE $107

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.