go back

Preventive Visit, Established Patient, Infant

Tennessee 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 negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 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 6 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$85.11$66.07 to $107
FacilityA hospital or hospital-owned outpatient department$95.50$77.62 to $155

How much rates vary

Facilitymedian $95 · 10th to 90th $68 to $427Professionalmedian $85 · 10th to 90th $56 to $166
$50$100$200facility $95professional $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
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$158.49
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$154.88

Where Tennessee 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.

Tennessee· 34th 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.