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Preventive Visit, Established Patient, Infant

Utah 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?

$95.50

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $53.70 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$95.50$70.79 to $141
FacilityA hospital or hospital-owned outpatient department$53.70$53.70 to $81.28

How much rates vary

Facilitymedian $54 · 10th to 90th $36 to $81Professionalmedian $95 · 10th to 90th $54 to $234
$50$100$200$500facility $54professional $95

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$181.97
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$74.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$154.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$134.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$147.91

Where Utah 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.

Utah· 20th of 51

$95.50

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.