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Infant Wellness Visit, New Patient

Idaho 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?

$115

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $110 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$115$89.13 to $182
FacilityA hospital or hospital-owned outpatient department$110$83.18 to $148

How much rates vary

Facilitymedian $110 · 10th to 90th $63 to $186Professionalmedian $115 · 10th to 90th $62 to $389
$50$100$200$500facility $110professional $115

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
Professional
Modifier
Global
Typical Low
$61.66
Median
$112.20
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$194.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$186.21
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$77.62
Typical High
$208.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$190.55

Where Idaho 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.

Idaho· 16th of 51

$115

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.