# CPT 59409: Vaginal Delivery Only

Medicare CPT 59409 pays $721.79 in a non-facility setting and $721.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $624.36 in Wisconsin to $908.48 in Alaska, a 46% spread.

Web page: https://www.med-reveal.com/rates/59409-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine, Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $721.79 |
| National facility | $721.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $908.48 | $908.48 |
| Florida | $849.26 | $849.26 |
| Illinois | $842.16 | $842.16 |
| New York | $805.26 | $805.26 |
| District of Columbia | $782.03 | $782.03 |
| New Jersey | $771.14 | $771.14 |
| Michigan | $769.95 | $769.95 |
| Connecticut | $767.87 | $767.87 |
| West Virginia | $765.58 | $765.58 |
| Georgia | $743.95 | $743.95 |
| Maryland | $743.01 | $743.01 |
| New Mexico | $739.86 | $739.86 |
| Pennsylvania | $733.18 | $733.18 |
| Massachusetts | $727.75 | $727.75 |
| Washington | $723.64 | $723.64 |
| Montana | $721.52 | $721.52 |
| Puerto Rico | $720.96 | $720.96 |
| Virgin Islands | $720.96 | $720.96 |
| Rhode Island | $719.96 | $719.96 |
| Louisiana | $718.75 | $718.75 |
| Ohio | $713.51 | $713.51 |
| Texas | $713.22 | $713.22 |
| Missouri | $710.83 | $710.83 |
| New Hampshire | $709.42 | $709.42 |
| Delaware | $709.34 | $709.34 |
| Colorado | $705.03 | $705.03 |
| Utah | $701.64 | $701.64 |
| Nevada | $699.48 | $699.48 |
| Arizona | $699.12 | $699.12 |
| Kentucky | $698.44 | $698.44 |
| California | $697.25 | $697.25 |
| Oregon | $694.26 | $694.26 |
| South Carolina | $693.48 | $693.48 |
| Wyoming | $686.88 | $686.88 |
| Virginia | $680.49 | $680.49 |
| Oklahoma | $680.34 | $680.34 |
| Hawaii | $680.00 | $680.00 |
| Mississippi | $671.80 | $671.80 |
| Maine | $666.86 | $666.86 |
| North Carolina | $666.12 | $666.12 |
| Vermont | $654.39 | $654.39 |
| Alabama | $650.08 | $650.08 |
| Tennessee | $649.84 | $649.84 |
| Indiana | $644.93 | $644.93 |
| Kansas | $644.87 | $644.87 |
| Idaho | $642.43 | $642.43 |
| North Dakota | $642.04 | $642.04 |
| Arkansas | $641.51 | $641.51 |
| South Dakota | $632.64 | $632.64 |
| Iowa | $631.69 | $631.69 |
| Minnesota | $630.39 | $630.39 |
| Nebraska | $630.00 | $630.00 |
| Wisconsin | $624.36 | $624.36 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 59409 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