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Full Course Of Prenatal Care Visits

New Jersey 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 October 2026.

How much does Full Course Of Prenatal Care Visits cost?

$871

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,349 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$692 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,349$617 to $3,162

How much rates vary

Facilitymedian $1,349 · 10th to 90th $372 to $4,786Professionalmedian $851 · 10th to 90th $562 to $1,622
$100$200$500$1K$2K$5K$10Kfacility $1,349professional $851

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
$537.03
Median
$707.95
Typical High
$812.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$812.83
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$269.15
Median
$354.81
Typical High
$436.52
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$81.28
Median
$104.71
Typical High
$131.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$53.70
Median
$70.79
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,819.70
Typical High
$1,819.70
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
$851.14
Median
$1,148.15
Typical High
$1,737.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,698.24
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$741.31
Typical High
$2,398.83
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
$575.44
Median
$851.14
Typical High
$1,513.56

Where New Jersey sits

The same service costs 3.2 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· 43rd of 51

$871

AK $2,512IN $776

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.