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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.

Facilitymedian $107 · 10th–90th $68$1910%10%20%10th90th$107Professionalmedian $126 · 10th–90th $74$2630%10%10th90th$126$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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