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Preventive Visit, Established Patient, Infant

Idaho 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?

$97.72

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 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$97.72$77.62 to $170
FacilityA hospital or hospital-owned outpatient department$100$74.13 to $132

How much rates vary

Facilitymedian $100 · 10th to 90th $58 to $166Professionalmedian $98 · 10th to 90th $56 to $324
$50$100$200$500facility $100professional $98

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
$112.20
Median
$112.20
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$173.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$169.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$190.55
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$154.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$181.97
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$173.78

Where Idaho 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.

Idaho· 14th of 51

$97.72

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.