go back

Prenatal Care Visits (Limited Series)

Texas 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 $562 · 10th–90th $339$2,6300%5%10%10th90th$562Professionalmedian $525 · 10th–90th $347$1,0470%10%10th90th$525$20.0$100.0$500.0$2.0K$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
$346.74
Median
$457.09
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$1,148.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$707.95
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,047.13
Christus
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$912.01
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$2,630.27
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,897.79
Typical High
$4,897.79
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$933.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$2,344.23
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$724.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$758.58