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Preventive Visit, Established Patient, Infant

Nebraska 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?

$102

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 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 7 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$102$79.43 to $174
FacilityA hospital or hospital-owned outpatient department$100$77.62 to $135

How much rates vary

Facilitymedian $100 · 10th to 90th $62 to $178Professionalmedian $102 · 10th to 90th $59 to $219
$50$100$200facility $100professional $102

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
$63.10
Median
$63.10
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$239.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$186.21
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$234.42

Where Nebraska 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.

Nebraska· 13th of 51

$102

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.