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Infant Wellness Visit, New Patient

West Virginia 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 October 2026.

How much does Infant Wellness Visit, New Patient cost?

$85.11

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $70.79 to $105.

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 $89 · 10th to 90th $89 to $89Professionalmedian $85 · 10th to 90th $60 to $148
$50$100$200$500facility $89professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$89.13
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$39.81
Typical High
$50.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$12.30
Typical High
$15.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$8.32
Typical High
$10.00
CareSource
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$109.65
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$104.71
Typical High
$229.09
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$141.25
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$81.28
Typical High
$138.04

Where West Virginia sits

The same service costs 2.9 times more in Alaska than in Washington, DC. 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.

West Virginia· 46th of 51

$85.11

AK $204DC $70.79

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.