go back

Infant Wellness Visit, New Patient

Utah 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?

$112

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $63.10 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 7 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$112$85.11 to $166
FacilityA hospital or hospital-owned outpatient department$63.10$22.39 to $95.50

How much rates vary

Facilitymedian $63 · 10th to 90th $22 to $95Professionalmedian $112 · 10th to 90th $63 to $380
$50$100$200$500facility $63professional $112

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
$22.39
Median
$63.10
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$81.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$173.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$134.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$169.82

Where Utah 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.

Utah· 17th of 51

$112

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.