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Preventive Visit, Established Patient, Infant

Washington, DC rates for HCPCS 99391

This is a routine well-baby checkup for an established patient under age 1, focused on growth, development, and preventive care rather than a specific illness. It typically includes a physical exam, developmental screening, and guidance for parents on feeding, safety, and immunizations.

Rates data updated October 2026.

How much does Preventive Visit, Established Patient, Infant cost?

$64.57

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

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $56.23 to $97.72.

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 $65 to $234Professionalmedian $65 · 10th to 90th $54 to $120
$50$100$200facility $135professional $65

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
$64.57
Median
$134.90
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$85.11
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$31.62
Median
$37.15
Typical High
$48.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.33
Median
$11.22
Typical High
$14.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.31
Median
$7.41
Typical High
$9.77
CareFirst
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$81.28
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$109.65
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$79.43
Typical High
$165.96

Where Washington, DC sits

The same service costs 2.9 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

$64.57

AK $186DC $64.57

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.