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Preventive Visit, Established Patient, Infant

Maryland 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?

$85.11

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $63.10 to $120.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $62 · 10th to 90th $37 to $95Professionalmedian $85 · 10th to 90th $54 to $200
$50$100$200$500facility $62professional $85

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$208.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$158.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$151.36

Where Maryland 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.

Maryland· 39th of 51

$85.11

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.