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Full Course Of Prenatal Care Visits

Pennsylvania 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?

$1,288

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $776 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 12 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$1,288$794 to $1,549
FacilityA hospital or hospital-owned outpatient department$776$724 to $977

How much rates vary

Facilitymedian $776 · 10th to 90th $48 to $3,020Professionalmedian $1,288 · 10th to 90th $676 to $1,995
$50$200$1K$5Kfacility $776professional $1,288

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
$758.58
Median
$776.25
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,348.96
Typical High
$2,041.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$1,995.26
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,862.09
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,122.02
Typical High
$1,737.80
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,862.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$616.60
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,445.44

Where Pennsylvania 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.

Pennsylvania· 17th of 51

$1,288

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.