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Preventive Visit, Established Patient, Infant

Massachusetts 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.

Facilitymedian $72 · 10th–90th $55$1740%20%10th90th$72Professionalmedian $117 · 10th–90th $62$2630%5%10th90th$117$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$281.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$426.58
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$204.17
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$107.15
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$134.90
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$131.83
Typical High
$251.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$181.97
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$426.58
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$316.23
Tufts
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$64.57
Tufts
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$263.03