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Preventive Visit, Established Patient, Age 65+

North Dakota 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?

$191

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $135 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 5 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$191$120 to $282
FacilityA hospital or hospital-owned outpatient department$135$102 to $141

How much rates vary

Facilitymedian $135 · 10th to 90th $98 to $214Professionalmedian $191 · 10th to 90th $93 to $339
$100$200$500facility $135professional $191

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
$102.33
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$309.03

Where North Dakota 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.

North Dakota· 4th of 51

$191

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.