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Prenatal Care Visits (Limited Series)

New Jersey 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 $219$6,6070%10%10th90th$490Professionalmedian $447 · 10th–90th $309$1,1480%10%10th90th$447$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$199.53
Median
$389.05
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$1,174.90
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,148.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$912.01
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$891.25