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Infant Wellness Visit, New Patient

Louisiana 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 October 2026.

How much does Infant Wellness Visit, New Patient cost?

$89.13

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $110 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$70.79 to $107
FacilityA hospital or hospital-owned outpatient department$110$110 to $126

How much rates vary

Facilitymedian $110 · 10th to 90th $102 to $170Professionalmedian $89 · 10th to 90th $62 to $120
$50$100$200facility $110professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$109.65
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$107.15
Typical High
$120.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$42.66
Typical High
$57.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.48
Median
$12.88
Typical High
$16.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.76
Median
$8.51
Typical High
$11.48
Ambetter
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$91.20
Typical High
$91.20
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$141.25
Typical High
$199.53
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$89.13
Typical High
$104.71
Christus
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$81.28
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$87.10
Typical High
$138.04
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$109.65
Median
$144.54
Typical High
$173.78

Where Louisiana sits

The same service costs 2.9 times more in Alaska than in Washington, DC. 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.

Louisiana· 40th of 51

$89.13

AK $204DC $70.79

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.