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Infant Wellness Visit, New Patient

Kentucky 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.

Facilitymedian $85 · 10th–90th $65$1100%20%10th90th$85Professionalmedian $100 · 10th–90th $62$3090%10%10th90th$100$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$69.18
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$125.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$125.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$151.36