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Preventive Visit, Established Patient, Infant

Virginia 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?

$89.13

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $87.10 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$89.13$69.18 to $117
FacilityA hospital or hospital-owned outpatient department$87.10$69.18 to $112

How much rates vary

Facilitymedian $87 · 10th to 90th $60 to $148Professionalmedian $89 · 10th to 90th $58 to $166
$50$100$200facility $87professional $89

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
$63.10
Median
$64.57
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$169.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$173.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$81.28
Typical High
$93.33
Sentara
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$117.49
Sentara
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$154.88

Where Virginia 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.

Virginia· 28th of 51

$89.13

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.