go back

Infant Wellness Visit, New Patient

Nevada 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 negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $102 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 7 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$97.72$70.79 to $138
FacilityA hospital or hospital-owned outpatient department$102$83.18 to $102

How much rates vary

Facilitymedian $102 · 10th to 90th $54 to $112Professionalmedian $98 · 10th to 90th $60 to $363
$50$100$200$500facility $102professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$169.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$0.95
Typical High
$1.70
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$0.95
Typical High
$0.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$112.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$173.78

Where Nevada 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.

Nevada· 39th 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.