Annual checkup, existing patient (age 40-64)

A yearly wellness exam with your current doctor, ages 40 to 64.
Code 99396 · Preventive & wellness · statewide summary · negotiated in-network prices
Payers shown: Security Health Plan
Prices shown: in-person office visits only
Doctor’s fee or facility fee? These are doctors' fees for a visit in their own office. An independent practice usually charges nothing more, but a clinic owned by a hospital may add a separate facility fee — worth asking before you book. (About 5% of these prices are facility fees instead, which can show up as unusually high prices.) Where a state has both, the table and each state’s popup show the doctor’s fee and the facility fee side by side; their sum is a rough total for the visit, before anything else done during it.
Who is counted: Security Health Plan lists clinicians individually: 96% of the 42,805 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs. Security Health Plan’s files name 15,173 providers for this procedure; 4,875 are counted here: the clinicians whose specialty performs it — mostly Nurse Practitioner, Physician Assistant and Family Medicine — 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.
Not on this map: Care outside Security Health Plan's own network: for some plans it rents other networks (Aetna and First Health outside Wisconsin; The Alliance and Northwood). Those prices are set by those networks, so they are not included here.
StateProvidersNamed in filesOrganisationsZip codes Lowest25th pctMedian75th pctHighestDoctor’s feeFacility fee
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.