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Infant Wellness Visit, New Patient

North Carolina 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?

$126

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $107 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 8 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$126$91.20 to $182
FacilityA hospital or hospital-owned outpatient department$107$81.28 to $141

How much rates vary

Facilitymedian $107 · 10th to 90th $68 to $191Professionalmedian $126 · 10th to 90th $74 to $263
$50$100$200$500facility $107professional $126

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
Facility
Modifier
Global
Typical Low
$74.13
Median
$177.83
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$151.36
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$204.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$173.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$165.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83

Where North Carolina 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.

North Carolina· 9th of 51

$126

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.