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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 July 2026.

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

$81.28

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

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $63.10 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 $129 · 10th to 90th $117 to $129Professionalmedian $78 · 10th to 90th $55 to $126
$50$100$200facility $129professional $78

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$104.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$186.21

Where Washington, DC sits

The same service costs 2.2 times more in Minnesota than in Delaware. 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· 41st of 51

$81.28

MN $170DE $77.62

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.