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Infant Wellness Visit, New Patient

North Dakota 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?

$155

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $110 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 5 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$155$100 to $240
FacilityA hospital or hospital-owned outpatient department$110$77.62 to $112

How much rates vary

Facilitymedian $110 · 10th to 90th $74 to $174Professionalmedian $155 · 10th to 90th $68 to $288
$50$100$200$500facility $110professional $155

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
$77.62
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$117.49
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$245.47

Where North Dakota 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 Dakota· 2nd of 51

$155

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.