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Preventive Visit, Established Patient, Age 65+

Nebraska 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?

$170

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $148 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 7 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$170$110 to $257
FacilityA hospital or hospital-owned outpatient department$148$112 to $191

How much rates vary

Facilitymedian $148 · 10th to 90th $89 to $245Professionalmedian $170 · 10th to 90th $89 to $309
$100$200$500facility $148professional $170

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
$93.33
Median
$93.33
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$251.19
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$323.59

Where Nebraska 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.

Nebraska· 6th of 51

$170

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.