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Infant Wellness Visit, New Patient

Florida 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 July 2026.

How much does Infant Wellness Visit, New Patient cost?

$93.33

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $81.28 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$93.33$74.13 to $126
FacilityA hospital or hospital-owned outpatient department$81.28$57.54 to $97.72

How much rates vary

Facilitymedian $81 · 10th to 90th $58 to $178Professionalmedian $93 · 10th to 90th $60 to $204
$50$100$200facility $81professional $93

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
$57.54
Median
$81.28
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$165.96
AvMed
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$208.93
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$93.33
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$74.13
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$173.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$112.20

Where Florida 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.

Florida· 44th of 51

$93.33

MN $182DE $87.10

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.