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Preventive Visit, Established Patient, Infant

Illinois 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?

$91.20

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $107 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 7 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$91.20$70.79 to $129
FacilityA hospital or hospital-owned outpatient department$107$87.10 to $145

How much rates vary

Facilitymedian $107 · 10th to 90th $59 to $204Professionalmedian $91 · 10th to 90th $60 to $182
$50$100$200facility $107professional $91

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
$58.88
Median
$107.15
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$173.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$128.82
Typical High
$245.47
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$181.97

Where Illinois 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.

Illinois· 24th of 51

$91.20

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.