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Infant Wellness Visit, New Patient

South 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?

$135

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $107 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 8 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$135$100 to $234
FacilityA hospital or hospital-owned outpatient department$107$77.62 to $155

How much rates vary

Facilitymedian $107 · 10th to 90th $63 to $186Professionalmedian $135 · 10th to 90th $74 to $275
$50$100$200facility $107professional $135

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
$77.62
Median
$77.62
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$275.42
Avera
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$239.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$213.80
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
$125.89
Typical High
$218.78
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$199.53

Where South 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.

South Dakota· 6th of 51

$135

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.