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Prenatal Care Visits (Limited Series)

West Virginia 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.

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

$832

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $83.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$832$490 to $1,023
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $398

How much rates vary

Facilitymedian $83 · 10th to 90th $83 to $490Professionalmedian $832 · 10th to 90th $380 to $1,202
$100$200$500$1Kfacility $83professional $832

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$831.76
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$588.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$2,754.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$724.44

Where West Virginia sits

The same service costs 2.9 times more in Alaska than in New Jersey. 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.

West Virginia· 12th of 51

$832

AK $1,288NJ $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.