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Preventive Visit, Established Patient, Infant

Florida 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?

$81.28

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $72.44 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 8 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$81.28$64.57 to $112
FacilityA hospital or hospital-owned outpatient department$72.44$52.48 to $91.20

How much rates vary

Facilitymedian $72 · 10th to 90th $52 to $158Professionalmedian $81 · 10th to 90th $54 to $174
$50$100$200facility $72professional $81

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
$52.48
Median
$72.44
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$138.04
AvMed
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$190.55
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$77.62
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$70.79
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$158.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$100.00

Where Florida 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.

Florida· 44th of 51

$81.28

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.