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Prenatal Care Visits (Limited Series)

Wisconsin 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.

Facilitymedian $1,096 · 10th–90th $468$8,1280%5%10%10th90th$1,096Professionalmedian $977 · 10th–90th $407$1,9950%5%10th90th$977$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
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$831.76
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$954.99
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,000.00
Typical High
$1,862.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,096.48
Typical High
$1,819.70
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,096.48
Typical High
$10,471.29
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,096.48
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$588.84
Network Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$691.83
Network Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,513.56
Quartz
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,174.90
Typical High
$1,862.09
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,630.27
Typical High
$2,630.27
Quartz
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,202.26
Typical High
$3,981.07
Security Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,000.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,786.30
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,548.82