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Preventive Visit, Established Patient, Age 65+

Oklahoma 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?

$117

Typical physician fee. In Oklahoma, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $97.72 to $135.

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.

How much rates vary

Facilitymedian $117 · 10th to 90th $83 to $204Professionalmedian $117 · 10th to 90th $83 to $178
$100$200$500facility $117professional $117

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
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$173.78

Where Oklahoma 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.

Oklahoma· 47th of 51

$117

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.