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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.

Facilitymedian $93 · 10th–90th $58$1660%10%10th90th$93Professionalmedian $166 · 10th–90th $69$2630%10%10th90th$166$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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