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Preventive Visit, Established Patient, Infant

New Jersey 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?

$85.11

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $64.57 to $115.

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.

How much rates vary

Facilitymedian $81 · 10th to 90th $52 to $138Professionalmedian $85 · 10th to 90th $54 to $174
$50$100$200facility $81professional $85

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
$52.48
Median
$81.28
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$117.49
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$181.97
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$114.82
Typical High
$204.17
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$87.10
Typical High
$165.96

Where New Jersey 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.

New Jersey· 37th of 51

$85.11

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.