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Preventive Visit, Established Patient, Infant

Iowa 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?

$115

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $100 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$115$83.18 to $209
FacilityA hospital or hospital-owned outpatient department$100$69.18 to $138

How much rates vary

Facilitymedian $100 · 10th to 90th $52 to $178Professionalmedian $115 · 10th to 90th $63 to $324
$50$100$200facility $100professional $115

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
$114.82
Median
$165.96
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$131.83
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$245.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$181.97
Typical High
$245.47
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$204.17
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$169.82

Where Iowa 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.

Iowa· 7th of 51

$115

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.