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Infant Wellness Visit, New Patient

Wyoming 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?

$129

Typical physician fee. In Wyoming, October 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $110 to $174.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $76 to $110Professionalmedian $129 · 10th to 90th $102 to $195
$100$200facility $76professional $129

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
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$109.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$100.00
Typical High
$114.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.22
Median
$13.18
Typical High
$16.60
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$128.82
Typical High
$194.98
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$74.13
Median
$91.20
Typical High
$138.04
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$25.70
Typical High
$38.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$120.23
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$151.36
Typical High
$204.17
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$44.67
Typical High
$54.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.59
Median
$8.91
Typical High
$10.96

Where Wyoming 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.

Wyoming· 11th of 51

$129

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.