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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 July 2026.

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

$95.50

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $70.79 to $138.

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 $81 to $14,454Professionalmedian $95 · 10th to 90th $58 to $195
$50$200$1K$5Kfacility $8,318professional $95

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
$81.28
Median
$8,317.64
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$190.55
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$194.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$245.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$14,454.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$204.17

Where Maine 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.

Maine· 18th of 51

$95.50

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.