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Preventive Visit, Established Patient, Infant

Maine 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 October 2026.

How much does Preventive Visit, Established Patient, Infant cost?

$91.20

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $75.86 to $115.

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.

How much rates vary

Facilitymedian $8,318 · 10th to 90th $58 to $14,454Professionalmedian $91 · 10th to 90th $58 to $151
$50$200$1K$5Kfacility $8,318professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$141.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$38.90
Typical High
$40.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$11.75
Typical High
$12.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$7.76
Typical High
$8.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$102.33
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$97.72
Typical High
$144.54
Community Health Options
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$165.96
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$162.18
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$14,454.40
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$141.25
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$40.74
Typical High
$40.74
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$12.02
Typical High
$12.02
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$8.13
Typical High
$8.13
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$97.72
Typical High
$151.36

Where Maine sits

The same service costs 2.9 times more in Alaska than in Washington, DC. 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.

Maine· 25th of 51

$91.20

AK $186DC $64.57

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.