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Preventive Visit, Established Patient, Infant

South 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?

$162

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $93.33 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 8 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$166$91.20 to $234
FacilityA hospital or hospital-owned outpatient department$93.33$69.18 to $132

How much rates vary

Facilitymedian $93 · 10th to 90th $58 to $166Professionalmedian $166 · 10th to 90th $69 to $263
$50$100$200facility $93professional $166

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
$70.79
Median
$70.79
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$213.80
Typical High
$275.42
Avera
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$223.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$194.98
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$177.83

Where South 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.

South Dakota· 2nd of 51

$162

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.