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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.

How much does Infant Wellness Visit, New Patient cost?

$97.72

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $85.11 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$100$74.13 to $132
FacilityA hospital or hospital-owned outpatient department$85.11$67.61 to $95.50

How much rates vary

Facilitymedian $85 · 10th to 90th $65 to $110Professionalmedian $100 · 10th to 90th $62 to $309
$100$200$500facility $85professional $100

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
$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

Where Kentucky 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.

Kentucky· 41st of 51

$97.72

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.