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Well-Teen Checkup

Washington, DC rates for HCPCS 99394

This is a preventive checkup for an established adolescent patient, focused on tracking growth and development, screening for physical and mental health concerns, and updating vaccinations. It typically includes a physical exam and age-appropriate counseling on topics like nutrition, safety, and healthy habits. It's not used to treat a specific illness or new health complaint.

Rates data updated October 2026.

How much does Well-Teen Checkup cost?

$81.28

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

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $70.79 to $112.

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 $81 to $275Professionalmedian $81 · 10th to 90th $66 to $148
$100$200facility $135professional $81

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
$81.28
Median
$134.90
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$104.71
Typical High
$120.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$44.67
Typical High
$56.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$13.49
Typical High
$16.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.76
Median
$8.91
Typical High
$11.22
CareFirst
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$70.79
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$125.89
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$93.33
Typical High
$199.53

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

$81.28

AK $219DC $81.28

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.