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Preventive Visit, Established Patient, Infant

West 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?

$97.72

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $91.20 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 5 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$100$75.86 to $141
FacilityA hospital or hospital-owned outpatient department$91.20$81.28 to $97.72

How much rates vary

Facilitymedian $91 · 10th to 90th $71 to $132Professionalmedian $100 · 10th to 90th $59 to $200
$50$100$200facility $91professional $100

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
$74.13
Median
$91.20
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$69.18
Typical High
$85.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$489.78
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$125.89

Where West 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.

West Virginia· 16th of 51

$97.72

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.