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Infant Wellness Visit, New Patient

Texas 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 $105 · 10th–90th $63$1910%10%10th90th$105Professionalmedian $89 · 10th–90th $59$1510%10%10th90th$89$20.0$100.0$500.0$2.0K$10.0K

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
$61.66
Median
$89.13
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$128.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$112.20
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$158.49
Christus
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$194.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$691.83
Typical High
$691.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$177.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$89.13
Typical High
$107.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$239.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$177.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$151.36