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Preventive Visit, Established Patient, Infant

Arizona rates for HCPCS 99391

This is a routine well-baby checkup for an established patient under age 1, focused on growth, development, and preventive care rather than a specific illness. It typically includes a physical exam, developmental screening, and guidance for parents on feeding, safety, and immunizations.

Rates data updated July 2026.

How much does Preventive Visit, Established Patient, Infant cost?

$85.11

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $79.43 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 6 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$85.11$64.57 to $126
FacilityA hospital or hospital-owned outpatient department$79.43$63.10 to $102

How much rates vary

Facilitymedian $79 · 10th to 90th $54 to $138Professionalmedian $85 · 10th to 90th $54 to $288
$50$100$200$500facility $79professional $85

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$128.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$147.91

Where Arizona sits

The same service costs 2.2 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.

Arizona· 38th of 51

$85.11

MN $170DE $77.62

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.