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Preventive Visit, Established Patient, Age 65+

Arizona 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?

$123

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $117 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 6 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$123$97.72 to $200
FacilityA hospital or hospital-owned outpatient department$117$93.33 to $145

How much rates vary

Facilitymedian $117 · 10th to 90th $79 to $191Professionalmedian $123 · 10th to 90th $81 to $282
$100$200$500facility $117professional $123

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
$72.44
Median
$72.44
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$213.80

Where Arizona 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.

Arizona· 36th of 51

$123

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.