New patient preventive checkup, ages 40-64

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years

Payers reporting CPT 99386

Payer pricing summary

Low

$69

Average

$2.6k

Median

$200

High

$51.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Highmark professional · fee schedule · both · +19 other terms	18	$147	$145	$45	31%	109–172	$20 – $194
2	Ambetter fee schedule · both · +19 other terms	17	$159	$222	$49	22%	40	$113 – $520
3	Oscar professional · fee schedule · inpatient · +15 other terms	8	$175	$168	$24	14%	21	$115 – $202
4	Anthem fee schedule · outpatient · +25 other terms	66	$153	$151	$27	18%	14	$22 – $309
5	Premera professional · fee schedule · outpatient · +9 other terms	13	$174	$187	$31	16%	4–40	$121 – $249
6	UnitedHealthcare fee schedule · outpatient · +36 other terms	191	$148	$207	$135	65%	2–20	$1 – $910
7	Tricare fee schedule · both · +18 other terms	26	$200	$172	$74	43%	2–20	$107 – $520
8	Humana fee schedule · outpatient · +26 other terms	232	$142	$222	$606	273%	1–10	$1 – $8.3k
9	Aetna fee schedule · outpatient · +34 other terms	156	$152	$359	$829	231%	1–10	$1 – $8.4k
10	First Health professional · fee schedule · both · +18 other terms	23	$135	$137	$86	63%	1–10	$0 – $438
11	Ucare professional · fee schedule · outpatient · +13 other terms	23	$158	$146	$33	23%	1–10	$81 – $229
12	Excellus professional · fee schedule · both · +17 other terms	18	$147	$141	$61	44%	1–10	$20 – $393
13	Carefirst professional · fee schedule · both · +13 other terms	14	$150	$143	$48	33%	1–10	$20 – $194
14	Bcbs Mo professional · other · both · +2 other terms	1	$204	$204	—	—	1–10	$204 – $204
15	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	178	$337	$364	$202	56%	—	$0 – $994
16	Cigna fee schedule · outpatient · +28 other terms	100	$157	$195	$103	53%	—	$0 – $460
17	Molina fee schedule · outpatient · +26 other terms	44	$123	$136	$86	63%	—	$1 – $396
18	Kaiser fee schedule · outpatient · +19 other terms	38	$157	$200	$100	50%	—	$5 – $523
19	Caresource fee schedule · outpatient · +19 other terms	33	$94	$146	$47	32%	—	$1 – $189
20	MultiPlan fee schedule · outpatient · +19 other terms	26	$175	$230	$143	62%	—	$82 – $594
21	Medcost fee schedule · both · +9 other terms	24	$248	$248	$2	1%	—	$246 – $250
22	Optum professional · fee schedule · outpatient · +17 other terms	24	$154	$125	$46	37%	—	$59 – $256
23	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$482	$472	$154	33%	—	$142 – $814
24	Devoted fee schedule · outpatient · +18 other terms	23	$148	$159	$34	22%	—	$144 – $319
25	Regence fee schedule · outpatient · +14 other terms	23	$186	$194	$69	35%	—	$56 – $488

Page 1 of 3 · 62 payers