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Infant Wellness Visit, New Patient

Massachusetts 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 $83 · 10th–90th $59$1910%10%20%10th90th$83Professionalmedian $138 · 10th–90th $69$2950%5%10th90th$138$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$79.43
Median
$117.49
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$331.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$467.74
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$128.82
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$229.09
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$117.49
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$151.36
Typical High
$218.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$275.42
Health New England
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$194.98
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$467.74
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$128.82
Typical High
$371.54
Tufts
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$93.33
Tufts
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$288.40