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Prenatal Care Visits (Limited Series)

Massachusetts rates for HCPCS 59425

This covers a defined block of routine prenatal checkups during pregnancy, when a patient receives some but not all of their prenatal care from a particular provider. It includes the regular visits, exams, and monitoring typical of ongoing pregnancy care during that portion of the pregnancy.

Rates data updated July 2026.

Facilitymedian $490 · 10th–90th $282$2,7540%20%10th90th$490Professionalmedian $851 · 10th–90th $372$1,8620%5%10th90th$851$100.0$500.0$2.0K$10.0K$50.0K

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
$281.84
Median
$371.54
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$912.01
Typical High
$2,089.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,778.28
Typical High
$4,073.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,445.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$467.74
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$933.25
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,445.44
Health New England
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,023.29
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,778.28
Typical High
$4,073.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,511.89
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,479.11