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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.

Facilitymedian $54 · 10th–90th $36$810%20%10th90th$54Professionalmedian $95 · 10th–90th $54$2340%10%10th90th$95$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

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