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Annual Checkup, New Patient (Ages 18-39)

Washington 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 $148 · 10th–90th $81$2690%5%10%10th90th$148Professionalmedian $155 · 10th–90th $87$4270%5%10%10th90th$155$50.0$100.0$200.0$500.0

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
$165.96
Median
$223.87
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$229.09
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$323.59
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$239.88
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$257.04
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$194.98