# Annual checkup, existing patient (age 40-64): what Moda Health pays, by state

A yearly wellness exam with your current doctor, ages 40 to 64.

- Insurer: Moda Health
- Billing code: 99396 (Preventive & wellness)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-09-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Named in files | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|---|
| Alabama | 29 | 139 | $130.15 | $174.13 | $212.73 | $247.88 | $488.55 |
| Alaska | 896 | 2,504 | $128.32 | $322.33 | $374.56 | $419.02 | $1,010.56 |
| Arizona | 157 | 798 | $130.15 | $170.05 | $212.66 | $237.89 | $667.67 |
| Arkansas | 29 | 106 | $130.15 | $130.15 | $170.05 | $214.02 | $403.10 |
| California | 416 | 1,391 | $128.93 | $175.46 | $219.30 | $269.80 | $676.88 |
| Colorado | 199 | 3,996 | $91.11 | $151.51 | $175.36 | $235.94 | $667.67 |
| Connecticut | 21 | 115 | $130.15 | $194.17 | $232.07 | $261.00 | $403.10 |
| Delaware | 2 | 31 | $161.82 | $169.72 | $177.61 | $185.51 | $193.40 |
| District of Columbia | 12 | 95 | $130.15 | $194.17 | $208.50 | $261.00 | $428.46 |
| Florida | 175 | 1,446 | $128.32 | $170.05 | $212.73 | $257.86 | $569.98 |
| Georgia | 80 | 1,340 | $130.15 | $137.45 | $170.05 | $228.90 | $569.98 |
| Guam | 1 | 3 | $569.98 | $569.98 | $569.98 | $569.98 | $569.98 |
| Hawaii | 20 | 93 | $179.55 | $225.63 | $326.65 | $340.34 | $428.46 |
| Idaho | 3,424 | 7,771 | $130.15 | $219.30 | $219.30 | $232.07 | $569.98 |
| Illinois | 72 | 366 | $130.15 | $186.95 | $212.73 | $261.00 | $667.67 |
| Indiana | 44 | 544 | $130.15 | $170.05 | $209.32 | $267.60 | $667.67 |
| Iowa | 15 | 85 | $130.15 | $170.05 | $239.92 | $269.10 | $386.79 |
| Kansas | 23 | 111 | $135.38 | $135.38 | $186.95 | $212.73 | $340.34 |
| Kentucky | 34 | 353 | $130.15 | $170.05 | $187.17 | $257.86 | $396.81 |
| Louisiana | 31 | 205 | $130.15 | $170.05 | $207.64 | $238.90 | $569.98 |
| Maine | 17 | 57 | $119.73 | $210.12 | $257.86 | $326.65 | $403.10 |
| Maryland | 55 | 611 | $130.15 | $130.15 | $170.05 | $214.02 | $855.09 |
| Massachusetts | 66 | 511 | $122.48 | $194.17 | $225.63 | $261.00 | $610.69 |
| Michigan | 69 | 306 | $130.15 | $198.96 | $237.89 | $295.19 | $610.69 |
| Minnesota | 66 | 574 | $128.32 | $170.05 | $228.48 | $336.92 | $569.98 |
| Mississippi | 18 | 73 | $130.15 | $183.83 | $225.63 | $308.50 | $386.79 |
| Missouri | 49 | 576 | $91.11 | $170.05 | $212.73 | $261.00 | $414.25 |
| Montana | 62 | 211 | $128.32 | $169.58 | $198.96 | $257.86 | $667.67 |
| Nebraska | 16 | 116 | $130.15 | $188.14 | $212.73 | $242.88 | $414.25 |
| Nevada | 65 | 314 | $130.15 | $180.05 | $219.30 | $258.65 | $667.67 |
| New Hampshire | 15 | 67 | $130.15 | $179.79 | $252.44 | $310.42 | $386.79 |
| New Jersey | 26 | 116 | $130.15 | $194.17 | $198.96 | $261.00 | $610.69 |
| New Mexico | 48 | 217 | $91.11 | $146.40 | $175.36 | $247.88 | $610.69 |
| New York | 74 | 394 | $128.32 | $170.05 | $194.17 | $237.89 | $569.98 |
| North Carolina | 79 | 403 | $128.32 | $170.05 | $216.02 | $261.00 | $667.67 |
| North Dakota | 22 | 72 | $128.32 | $130.15 | $170.05 | $198.96 | $569.98 |
| Ohio | 109 | 1,362 | $130.15 | $170.05 | $194.17 | $232.07 | $428.46 |
| Oklahoma | 31 | 140 | $128.93 | $183.73 | $214.20 | $255.93 | $569.98 |
| Oregon | 5,463 | 14,277 | $119.73 | $212.73 | $254.26 | $340.34 | $676.88 |
| Pennsylvania | 81 | 335 | $128.32 | $194.17 | $232.07 | $280.62 | $610.69 |
| Rhode Island | 8 | 31 | $186.95 | $194.17 | $236.87 | $295.46 | $428.46 |
| South Carolina | 16 | 153 | $160.66 | $212.73 | $237.89 | $287.66 | $667.67 |
| South Dakota | 16 | 44 | $130.15 | $170.05 | $212.73 | $257.86 | $386.79 |
| Tennessee | 56 | 228 | $128.32 | $175.36 | $214.02 | $261.00 | $676.88 |
| Texas | 4,924 | 11,375 | $109.59 | $180.50 | $197.26 | $232.07 | $792.90 |
| U.S. Virgin Islands | 1 | 2 | $386.79 | $386.79 | $386.79 | $386.79 | $386.79 |
| Utah | 185 | 943 | $128.93 | $219.30 | $232.07 | $249.50 | $667.67 |
| Vermont | 4 | 32 | $128.32 | $145.77 | $169.58 | $181.26 | $229.12 |
| Virginia | 66 | 852 | $91.11 | $158.43 | $197.26 | $340.34 | $792.90 |
| Washington | 4,529 | 11,634 | $119.73 | $194.17 | $225.63 | $280.50 | $1,010.56 |
| West Virginia | 5 | 44 | $135.38 | $148.60 | $175.36 | $201.23 | $229.12 |
| Wisconsin | 48 | 235 | $130.15 | $194.17 | $230.14 | $269.10 | $610.69 |
| Wyoming | 27 | 99 | $135.38 | $189.72 | $219.30 | $232.07 | $428.46 |

Moda Health’s files name **67,896 providers** for this procedure; **21,996** are counted here: the clinicians whose specialty performs it and the practices, clinics and hospitals. Insurers attach their whole fee schedule to every contracted provider, so the rest are clinicians listed at a price for something they never do; counting them would inflate the provider count and pull the typical price towards the fee schedule’s floor.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/moda/statemap_99396_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)