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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 October 2026.

How much does Infant Wellness Visit, New Patient cost?

$74.13

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $61.66 to $105.

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

Professionalmedian $74 · 10th to 90th $59 to $115
$50$100$200professional $74

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
Professional
Modifier
None
Typical Low
$69.18
Median
$95.50
Typical High
$109.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$41.69
Typical High
$54.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.47
Median
$12.59
Typical High
$16.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.92
Median
$8.51
Typical High
$10.96
CareFirst
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$61.66
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$85.11
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$120.23
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$81.28
Typical High
$141.25
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$112.20
Typical High
$112.20

Where Maryland 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.

Maryland· 50th of 51

$74.13

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.