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Well-Child Checkup, School Age

Washington, DC rates for HCPCS 99393

This is a preventive checkup for an established school-age child, focused on tracking growth and development and catching potential health concerns early. It typically includes a physical exam, developmental and behavioral screening, and vaccine updates 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, School Age cost?

$87.10

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

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $69.18 to $105.

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 $85 · 10th to 90th $62 to $135
$100$200facility $129professional $85

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$112.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$104.71
Typical High
$199.53

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· 46th of 51

$87.10

MN $182DE $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.