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: SummaCare
Prices shown: in-person office visits only
Doctor’s fee or facility fee? This mixes two kinds of price: 81% are doctors' fees and 19% are facility fees paid to a hospital or surgery center. Facility fees are usually far higher, so a wide spread can be the two kinds side by side, not providers charging wildly different amounts. Either way, expect a doctor's fee and a facility fee as separate bills when this is done in a hospital or surgery center.
Who is counted: SummaCare lists clinicians individually: 98% of the 40,581 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs. SummaCare’s files name 15,444 providers for this procedure; 5,948 are counted here: the clinicians whose specialty performs it — mostly Nurse Practitioner, Physician Assistant and Internal 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: Files SummaCare lists but does not publish: of the 173 price files its indexes named in October 2026, 86 (77 contracts) were not on its server, so those contracts' prices are not shown. Rented network: some SummaCare-administered plans use Ohio Health Choice's PPO network. Those prices are shown as their own network on SummaCare's map and are not part of SummaCare's overall figures; Ohio Health Choice also has its own page.
StateProvidersNamed in filesOrganisationsZip codes Lowest25th pctMedian75th pctHighest
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.