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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 October 2026.

How much does Prenatal Care Visits (Limited Series) cost?

$490

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,380 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$389 to $646
FacilityA hospital or hospital-owned outpatient department$1,380$437 to $3,311

How much rates vary

Facilitymedian $1,380 · 10th to 90th $309 to $4,786Professionalmedian $479 · 10th to 90th $316 to $891
$100$200$500$1K$2K$5K$10Kfacility $1,380professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$346.74
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$446.68
Typical High
$794.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$154.88
Median
$194.98
Typical High
$239.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$45.71
Median
$58.88
Typical High
$72.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$30.90
Median
$38.90
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$616.60
Typical High
$977.24
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$758.58
Typical High
$912.01
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$426.58
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$1,479.11
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$467.74
Typical High
$851.14

Where New Jersey sits

The same service costs 3.1 times more in Alaska than in Indiana. 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.

New Jersey· 42nd of 51

$490

AK $1,380IN $447

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.