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Infant Wellness Visit, New Patient

Maine 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?

$107

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $79.43 to $151.

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 $62 · 10th to 90th $62 to $89Professionalmedian $107 · 10th to 90th $63 to $224
$100$200facility $62professional $107

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
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$213.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$269.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$229.09

Where Maine 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.

Maine· 22nd of 51

$107

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.