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Preventive Visit, Established Patient, Infant

Vermont 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 physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $69.18 to $155.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $49 to $132Professionalmedian $95 · 10th to 90th $59 to $355
$50$100$200facility $69professional $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
$61.66
Median
$61.66
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$173.78
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$194.98

Where Vermont 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.

Vermont· 21st 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.