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Infant Wellness Visit, New Patient

Washington, DC rates for HCPCS 99381

This is a comprehensive preventive checkup for an infant under one year old who is new to the practice, including a physical exam, growth check, and guidance for parents on feeding, development, and safety. It is a routine wellness visit rather than a visit for a specific illness.

Rates data updated July 2026.

How much does Infant Wellness Visit, New Patient cost?

$89.13

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $69.18 to $107.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $123 to $129Professionalmedian $89 · 10th to 90th $62 to $141
$100$200facility $129professional $89

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
Facility
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$117.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$60.26
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$208.93

Where Washington, DC 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.

Washington, DC· 50th of 51

$89.13

MN $182DE $87.10

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.