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Preventive Visit, Established Patient, Infant

Wisconsin 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 $89 · 10th–90th $52$2040%5%10%10th90th$89Professionalmedian $132 · 10th–90th $62$2950%5%10th90th$132$1.0$5.0$20.0$100.0$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
$95.50
Median
$208.93
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$87.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$154.88
Typical High
$281.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$165.96
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$199.53
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$91.20
Network Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$144.54
Typical High
$213.80
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$165.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$281.84
Quartz
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$426.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$190.55
Typical High
$616.60
Security Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$147.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$257.04