go back

Preventive Visit, Established Patient, Infant

Michigan 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 Michigan, 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 $79.43 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 8 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 $132
FacilityA hospital or hospital-owned outpatient department$79.43$70.79 to $105

How much rates vary

Facilitymedian $79 · 10th to 90th $66 to $117Professionalmedian $91 · 10th to 90th $56 to $200
$50$100$200$500facility $79professional $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
$66.07
Median
$74.13
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$169.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$194.98
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$125.89
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$144.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$162.18

Where Michigan 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.

Michigan· 23rd 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.