go back

Infant Wellness Visit, New Patient

Rhode Island 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?

$107

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $77.62 to $126.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $245 · 10th to 90th $85 to $389Professionalmedian $107 · 10th to 90th $65 to $186
$100$200facility $245professional $107

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
$245.47
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$173.78

Where Rhode Island 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.

Rhode Island· 26th of 51

$107

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.