# CPT 59400: Vaginal delivery with prenatal and postpartum care

Medicare CPT 59400 pays $2,214.48 in a non-facility setting and $2,214.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,944.55 in Wisconsin to $2,715.06 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/59400-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,214.48 |
| National facility | $2,214.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,715.06 | $2,715.06 |
| Florida | $2,549.84 | $2,549.84 |
| Illinois | $2,518.37 | $2,518.37 |
| New York | $2,472.09 | $2,472.09 |
| District of Columbia | $2,432.53 | $2,432.53 |
| New Jersey | $2,386.12 | $2,386.12 |
| Connecticut | $2,361.37 | $2,361.37 |
| Michigan | $2,319.72 | $2,319.72 |
| Maryland | $2,284.46 | $2,284.46 |
| West Virginia | $2,284.13 | $2,284.13 |
| Massachusetts | $2,271.99 | $2,271.99 |
| Washington | $2,266.86 | $2,266.86 |
| Georgia | $2,256.69 | $2,256.69 |
| Pennsylvania | $2,237.05 | $2,237.05 |
| New Mexico | $2,233.23 | $2,233.23 |
| Rhode Island | $2,220.62 | $2,220.62 |
| Puerto Rico | $2,216.09 | $2,216.09 |
| Virgin Islands | $2,216.09 | $2,216.09 |
| Montana | $2,213.78 | $2,213.78 |
| California | $2,212.48 | $2,212.48 |
| New Hampshire | $2,196.16 | $2,196.16 |
| Colorado | $2,192.31 | $2,192.31 |
| Texas | $2,186.53 | $2,186.53 |
| Delaware | $2,177.58 | $2,177.58 |
| Louisiana | $2,176.51 | $2,176.51 |
| Ohio | $2,162.78 | $2,162.78 |
| Oregon | $2,160.55 | $2,160.55 |
| Missouri | $2,157.38 | $2,157.38 |
| Nevada | $2,156.31 | $2,156.31 |
| Hawaii | $2,152.11 | $2,152.11 |
| Arizona | $2,144.36 | $2,144.36 |
| Utah | $2,140.97 | $2,140.97 |
| Wyoming | $2,122.95 | $2,122.95 |
| Kentucky | $2,115.00 | $2,115.00 |
| South Carolina | $2,114.05 | $2,114.05 |
| Virginia | $2,100.33 | $2,100.33 |
| Oklahoma | $2,068.93 | $2,068.93 |
| Maine | $2,055.11 | $2,055.11 |
| North Carolina | $2,045.41 | $2,045.41 |
| Mississippi | $2,035.50 | $2,035.50 |
| Vermont | $2,034.30 | $2,034.30 |
| North Dakota | $2,005.36 | $2,005.36 |
| Tennessee | $1,994.46 | $1,994.46 |
| Indiana | $1,987.79 | $1,987.79 |
| Minnesota | $1,984.81 | $1,984.81 |
| Alabama | $1,983.37 | $1,983.37 |
| South Dakota | $1,980.72 | $1,980.72 |
| Kansas | $1,979.71 | $1,979.71 |
| Idaho | $1,978.82 | $1,978.82 |
| Arkansas | $1,955.39 | $1,955.39 |
| Iowa | $1,948.94 | $1,948.94 |
| Nebraska | $1,947.26 | $1,947.26 |
| Wisconsin | $1,944.55 | $1,944.55 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 59400 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules