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Illinois rates for HCPCS 59425

Antepartum care only; 4-6 visits

Facilitymedian $776 · 10th–90th $457–$4,3650%10%20%10th90th$776Professionalmedian $708 · 10th–90th $398–$1,1750%5%10%10th90th$708$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $676.08 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $707.95 / $1,202.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $724.44 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,025.60 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $741.31 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $660.69 / $1,023.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $1,412.54
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $2,818.38 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $549.54 / $912.01