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Infant Wellness Visit, New Patient

Montana 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?

$123

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $129 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$93.33 to $174
FacilityA hospital or hospital-owned outpatient department$129$102 to $182

How much rates vary

Facilitymedian $129 · 10th to 90th $74 to $195Professionalmedian $120 · 10th to 90th $65 to $389
$50$100$200$500facility $129professional $120

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. 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
$114.82
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$66,069.34
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$194.98
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$190.55

Where Montana 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.

Montana· 10th of 51

$123

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.