# CPT 59425: Antepartum Care Only 4-6 Visits

Medicare CPT 59425 pays $574.83 in a non-facility setting and $391.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $504.89 in Arkansas to $687.24 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/59425-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $574.83 |
| National facility | $391.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $687.24 | $492.30 |
| Florida | $646.14 | $462.49 |
| New York | $641.69 | $437.49 |
| District of Columbia | $640.00 | $424.38 |
| Illinois | $635.50 | $458.65 |
| New Jersey | $624.61 | $418.51 |
| Connecticut | $614.15 | $417.02 |
| Washington | $600.90 | $392.24 |
| Massachusetts | $600.22 | $394.58 |
| Maryland | $594.18 | $403.37 |
| California | $594.03 | $377.44 |
| Michigan | $590.55 | $418.68 |
| Rhode Island | $579.65 | $390.57 |
| Georgia | $578.83 | $404.21 |
| Pennsylvania | $577.40 | $398.12 |
| Colorado | $576.99 | $382.24 |
| Puerto Rico | $576.35 | $391.30 |
| Virgin Islands | $576.35 | $391.30 |
| Hawaii | $576.33 | $368.21 |
| West Virginia | $575.52 | $416.46 |
| New Hampshire | $575.35 | $384.81 |
| Montana | $574.68 | $391.64 |
| New Mexico | $569.90 | $402.05 |
| Oregon | $569.15 | $376.32 |
| Texas | $567.25 | $387.05 |
| Delaware | $565.73 | $384.89 |
| Nevada | $562.63 | $379.41 |
| Louisiana | $557.46 | $390.35 |
| Arizona | $556.67 | $379.31 |
| Wyoming | $555.46 | $372.43 |
| Ohio | $554.56 | $387.45 |
| Missouri | $553.92 | $385.95 |
| Utah | $552.84 | $380.79 |
| Virginia | $548.85 | $368.93 |
| South Carolina | $545.43 | $376.30 |
| Kentucky | $541.88 | $379.16 |
| Maine | $536.34 | $361.45 |
| Vermont | $535.64 | $354.43 |
| Oklahoma | $532.56 | $369.11 |
| North Carolina | $531.87 | $361.10 |
| North Dakota | $530.59 | $347.55 |
| Minnesota | $529.35 | $341.00 |
| South Dakota | $525.37 | $342.34 |
| Mississippi | $522.05 | $364.46 |
| Indiana | $519.04 | $349.36 |
| Tennessee | $518.52 | $352.14 |
| Idaho | $516.39 | $348.00 |
| Kansas | $514.86 | $349.40 |
| Wisconsin | $513.21 | $337.86 |
| Alabama | $512.53 | $352.37 |
| Nebraska | $510.03 | $341.09 |
| Iowa | $509.53 | $342.05 |
| Arkansas | $504.89 | $347.66 |

## 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 59425 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