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Well-Child Checkup, Early Childhood

Virginia rates for HCPCS 99392

This is a preventive checkup for an established young child, generally in the toddler and preschool years, focused on tracking growth and development and catching potential health concerns early. It typically includes a physical exam, developmental screening, and updates to vaccinations as needed. It's not used to treat a specific illness or new health complaint.

Rates data updated July 2026.

How much does Well-Child Checkup, Early Childhood cost?

$95.50

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $95.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$97.72$75.86 to $126
FacilityA hospital or hospital-owned outpatient department$95.50$77.62 to $120

How much rates vary

Facilitymedian $95 · 10th to 90th $68 to $158Professionalmedian $98 · 10th to 90th $63 to $174
$50$100$200facility $95professional $98

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
$69.18
Median
$70.79
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$181.97
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$131.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$165.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$89.13
Typical High
$107.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$131.83
Sentara
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$165.96

Where Virginia sits

The same service costs 2.1 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.

Virginia· 27th of 51

$95.50

MN $178DE $83.18

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.