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Infant Wellness Visit, New Patient

Illinois 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?

$107

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $120 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 7 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$107$81.28 to $141
FacilityA hospital or hospital-owned outpatient department$120$95.50 to $162

How much rates vary

Facilitymedian $120 · 10th to 90th $65 to $229Professionalmedian $107 · 10th to 90th $68 to $214
$50$100$200$500facility $120professional $107

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
$64.57
Median
$120.23
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$194.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$269.15
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$204.17

Where Illinois 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.

Illinois· 27th of 51

$107

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.