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Infant Wellness Visit, New Patient

Georgia 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?

$105

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $100 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$105$79.43 to $141
FacilityA hospital or hospital-owned outpatient department$100$74.13 to $110

How much rates vary

Facilitymedian $100 · 10th to 90th $69 to $126Professionalmedian $105 · 10th to 90th $66 to $214
$100$200facility $100professional $105

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
$100.00
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$190.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$263.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$173.78

Where Georgia 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.

Georgia· 28th of 51

$105

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.