go back

Annual Checkup, New Patient (Ages 18-39)

Virginia 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.

Facilitymedian $120 · 10th–90th $87$2000%20%10th90th$120Professionalmedian $129 · 10th–90th $83$2340%10%20%10th90th$129$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$208.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$154.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$169.82
Sentara
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$218.78