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Infant Wellness Visit, New Patient

New Jersey 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?

$97.72

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $75.86 to $135.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $98 · 10th to 90th $62 to $155Professionalmedian $98 · 10th to 90th $62 to $219
$100$200$500facility $98professional $98

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
$61.66
Median
$97.72
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$134.90
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$204.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$128.82
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$186.21

Where New Jersey 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.

New Jersey· 37th of 51

$97.72

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.