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Preventive Visit, Established Patient, Age 65+

New Hampshire 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?

$166

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $117 to $229.

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.

How much rates vary

Facilitymedian $174 · 10th to 90th $91 to $269Professionalmedian $166 · 10th to 90th $93 to $295
$100$200facility $174professional $166

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
$117.49
Median
$173.78
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$338.84
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$123.03

Where New Hampshire 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.

New Hampshire· 10th of 51

$166

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.