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Infant Wellness Visit, New Patient

South 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.

How much does Infant Wellness Visit, New Patient cost?

$100

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $74.13 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 $107 · 10th to 90th $66 to $174Professionalmedian $100 · 10th to 90th $65 to $200
$50$100$200facility $107professional $100

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
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$154.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$138.04

Where South Carolina 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.

South Carolina· 32nd of 51

$100

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.