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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.

Facilitymedian $95 · 10th–90th $62$1740%10%10th90th$95Professionalmedian $107 · 10th–90th $65$2140%10%10th90th$107$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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