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Infant Wellness Visit, New Patient

Wisconsin 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 $100 · 10th–90th $58$2040%10%10th90th$100Professionalmedian $148 · 10th–90th $68$3310%5%10th90th$148$1.0$5.0$20.0$100.0$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
$70.79
Median
$199.53
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$173.78
Typical High
$316.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$190.55
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$100.00
Network Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$158.49
Typical High
$245.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$190.55
Quartz
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$309.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$467.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$204.17
Typical High
$691.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$162.18
Security Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$281.84