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Annual Checkup, New Patient (Ages 18-39)

Washington, DC rates for HCPCS 99385

A comprehensive first-time wellness visit for an adult patient between about 18 and 39 who is new to this provider, focused on preventive care rather than an existing illness. It typically includes a full health history, an age-appropriate physical exam, and counseling on preventive topics such as screenings, immunizations, and healthy lifestyle habits. It's meant to establish a baseline and catch potential health issues early.

Rates data updated October 2026.

How much does Annual Checkup, New Patient (Ages 18-39) cost?

$93.33

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

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $79.43 to $129.

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 $91 to $135Professionalmedian $91 · 10th to 90th $76 to $166
$100$200facility $129professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$128.82
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$117.49
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$48.98
Typical High
$64.57
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$14.79
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.91
Median
$9.77
Typical High
$12.88
CareFirst
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$79.43
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$114.82
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$141.25
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$114.82
Typical High
$223.87

Where Washington, DC sits

The same service costs 2.7 times more in Alaska than in Washington, DC. 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· 51st of 51

$93.33

AK $251DC $93.33

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.