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Preventive Visit, Established Patient, Age 65+

Minnesota 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?

$224

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $166 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$224$138 to $316
FacilityA hospital or hospital-owned outpatient department$166$115 to $295

How much rates vary

Facilitymedian $166 · 10th to 90th $91 to $562Professionalmedian $224 · 10th to 90th $100 to $389
$100$200$500$1Kfacility $166professional $224

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
$97.72
Median
$97.72
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$177.83
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$263.03
Typical High
$467.74
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$1,047.13
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$213.80
Typical High
$346.74

Where Minnesota 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.

Minnesota· 1st of 51

$224

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.