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Preventive Visit, Established Patient, Infant

North Dakota 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?

$155

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $100 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 5 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$162$89.13 to $234
FacilityA hospital or hospital-owned outpatient department$100$70.79 to $100

How much rates vary

Facilitymedian $100 · 10th to 90th $68 to $155Professionalmedian $162 · 10th to 90th $68 to $275
$50$100$200$500facility $100professional $162

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
$70.79
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$141.25
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$239.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$190.55
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$223.87

Where North Dakota 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 Dakota· 3rd of 51

$155

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.