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Full Course Of Prenatal Care Visits

North Carolina rates for HCPCS 59426

Coverage for a complete series of routine prenatal checkup visits provided by the same practice throughout a pregnancy, bundled together as one service rather than billed visit by visit. It reflects ongoing monitoring of the pregnancy across many appointments, not delivery itself or any single visit.

Rates data updated July 2026.

How much does Full Course Of Prenatal Care Visits cost?

$1,259

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,148 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 7 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$1,259$832 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,148$912 to $2,344

How much rates vary

Facilitymedian $1,148 · 10th to 90th $776 to $3,020Professionalmedian $1,259 · 10th to 90th $692 to $2,884
$500$1K$2K$5Kfacility $1,148professional $1,259

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
$776.25
Median
$1,258.93
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,380.38
Typical High
$3,019.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,905.46
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,677.35
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,659.59
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,897.79
Typical High
$4,897.79
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$8,912.51

Where North Carolina sits

The same service costs 2.8 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.

North Carolina· 18th of 51

$1,259

AK $2,291NJ $813

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.