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Preventive Visit, Established Patient, Infant

Washington 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 $107 · 10th–90th $56$2000%5%10th90th$107Professionalmedian $102 · 10th–90th $59$2820%5%10%10th90th$102$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$186.21
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$245.47
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$97.72
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$194.98
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$194.98
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$239.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$147.91