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Infant Wellness Visit, New Patient

Vermont 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?

$117

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $85.11 to $195.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $91 · 10th to 90th $56 to $148Professionalmedian $117 · 10th to 90th $69 to $398
$100$200$500facility $91professional $117

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
$72.44
Median
$72.44
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$173.78
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$218.78

Where Vermont 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.

Vermont· 15th of 51

$117

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.