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Infant Wellness Visit, New Patient

Connecticut rates for HCPCS 99381

This is a comprehensive preventive checkup for an infant under one year old who is new to the practice, including a physical exam, growth check, and guidance for parents on feeding, development, and safety. It is a routine wellness visit rather than a visit for a specific illness.

Rates data updated October 2026.

How much does Infant Wellness Visit, New Patient cost?

$117

Typical physician fee. In Connecticut, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $91.20 to $145.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $550 · 10th to 90th $550 to $550Professionalmedian $117 · 10th to 90th $79 to $178
$100$200$500facility $550professional $117

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
Professional
Modifier
None
Typical Low
$72.44
Median
$95.50
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$123.03
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$117.49
Typical High
$169.82
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$114.82
Typical High
$173.78
Health New England
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$114.82
Typical High
$199.53
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$45.71
Typical High
$67.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$13.80
Typical High
$19.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$9.12
Typical High
$13.49

Where Connecticut 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.

Connecticut· 17th of 51

$117

AK $204DC $70.79

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.