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Infant Wellness Visit, New Patient

Maryland 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?

$100

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $70.79 to $148.

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.

How much rates vary

Facilitymedian $74 · 10th to 90th $59 to $107Professionalmedian $100 · 10th to 90th $60 to $229
$50$100$200$500facility $74professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$60.26
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$177.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$169.82

Where Maryland 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.

Maryland· 31st of 51

$100

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.