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Preventive Visit, Established Patient, Infant

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $95.50 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$107$79.43 to $151
FacilityA hospital or hospital-owned outpatient department$95.50$72.44 to $123

How much rates vary

Facilitymedian $95 · 10th to 90th $62 to $174Professionalmedian $107 · 10th to 90th $65 to $214
$50$100$200facility $95professional $107

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
$67.61
Median
$162.18
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$251.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$109.65
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$147.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60

Where North Carolina 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.

North Carolina· 11th 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.