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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.

Facilitymedian $107 · 10th–90th $63$1860%10%10th90th$107Professionalmedian $135 · 10th–90th $74$2750%10%10th90th$135$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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