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First-Day Intensive Care For A Sick Newborn (Not Critical)

Nationwide rates for HCPCS 99477

A hospital evaluation and management service for the first day of caring for a newborn, 28 days old or younger, who needs frequent monitoring and extra interventions beyond routine newborn care but is not critically ill. It reflects the more intensive, hands-on level of care some newborns need without meeting the threshold of critical, life-threatening illness.

Rates data updated July 2026.

Facilitymedian $427 · 10th–90th $288$7590%10%20%10th90th$427Professionalmedian $372 · 10th–90th $269$9330%20%10th90th$372$0.5$5.0$50.0$500.0$5.0K

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
$263.03
Median
$398.11
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$1,023.29