go back

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 July 2026.

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

$107

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

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $89.13 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 $129 to $129Professionalmedian $107 · 10th to 90th $74 to $178
$100$200facility $129professional $107

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. 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
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$165.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$245.47

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· 49th of 51

$107

MN $214DE $102

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.