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Preventive Visit, Established Patient, Infant

Montana 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?

$105

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $115 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 6 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$105$77.62 to $155
FacilityA hospital or hospital-owned outpatient department$115$89.13 to $162

How much rates vary

Facilitymedian $115 · 10th to 90th $65 to $178Professionalmedian $105 · 10th to 90th $56 to $309
$50$100$200$500facility $115professional $105

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
Professional
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$66,069.34
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$194.98
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$173.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$173.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$173.78

Where Montana 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.

Montana· 10th of 51

$105

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.