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Annual Checkup, New Patient (Ages 40-64)

Washington, DC rates for HCPCS 99386

A comprehensive first-time wellness visit for an adult patient between about 40 and 64 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 that become more relevant with age, such as certain screenings and lifestyle guidance. 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 40-64) cost?

$123

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

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $107 to $151.

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 $123 · 10th to 90th $89 to $200
$50.0$100.0$200.0$500.0facility $129professional $123

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
$89.13
Median
$120.23
Typical High
$177.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$281.84

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. Pick one to see its carriers and full range.

Washington, DC $123 · 50th of 51
MN $257DE $120

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.