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Preventive Visit, Established Patient, Infant

South 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?

$89.13

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $87.10 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 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$87.10$66.07 to $107
FacilityA hospital or hospital-owned outpatient department$95.50$70.79 to $117

How much rates vary

Facilitymedian $95 · 10th to 90th $59 to $155Professionalmedian $87 · 10th to 90th $59 to $158
$50$100$200facility $95professional $87

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
$66.07
Median
$70.79
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$97.72
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$162.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$125.89

Where South 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.

South Carolina· 26th of 51

$89.13

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.