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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 October 2026.

How much does Annual Checkup, New Patient (Ages 40-64) cost?

$110

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

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $95.50 to $148.

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 $135 · 10th to 90th $110 to $148Professionalmedian $110 · 10th to 90th $91 to $191
$100$200facility $135professional $110

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
$109.65
Median
$134.90
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$134.90
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$58.88
Typical High
$74.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.22
Median
$17.38
Typical High
$22.39
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.72
Median
$11.75
Typical High
$14.79
CareFirst
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$95.50
Typical High
$109.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$131.83
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$165.96
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$134.90
Typical High
$269.15

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

$110

AK $295DC $110

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.