# CPT 59426: Antepartum Care Only 7/> Visits

Medicare CPT 59426 pays $1,055.47 in a non-facility setting and $718.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $926.88 in Arkansas to $1,261.46 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/59426-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,055.47 |
| National facility | $718.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,261.46 | $902.53 |
| Florida | $1,186.58 | $848.44 |
| New York | $1,178.32 | $802.35 |
| District of Columbia | $1,175.21 | $778.21 |
| Illinois | $1,167.02 | $841.38 |
| New Jersey | $1,146.92 | $767.44 |
| Connecticut | $1,127.73 | $764.76 |
| Washington | $1,103.34 | $719.15 |
| Massachusetts | $1,102.10 | $723.46 |
| Maryland | $1,091.03 | $739.69 |
| California | $1,090.71 | $691.93 |
| Michigan | $1,084.38 | $767.92 |
| Rhode Island | $1,064.30 | $716.17 |
| Georgia | $1,062.82 | $741.30 |
| Pennsylvania | $1,060.18 | $730.07 |
| Colorado | $1,059.43 | $700.84 |
| Puerto Rico | $1,058.26 | $717.54 |
| Virgin Islands | $1,058.26 | $717.54 |
| Hawaii | $1,058.22 | $675.03 |
| West Virginia | $1,056.73 | $763.87 |
| New Hampshire | $1,056.43 | $705.59 |
| Montana | $1,055.19 | $718.18 |
| New Mexico | $1,046.40 | $737.36 |
| Oregon | $1,045.01 | $689.97 |
| Texas | $1,041.52 | $709.73 |
| Delaware | $1,038.73 | $705.76 |
| Nevada | $1,033.04 | $695.69 |
| Louisiana | $1,023.55 | $715.86 |
| Arizona | $1,022.08 | $695.51 |
| Wyoming | $1,019.86 | $682.85 |
| Ohio | $1,018.21 | $710.51 |
| Missouri | $1,017.02 | $707.76 |
| Utah | $1,015.05 | $698.25 |
| Virginia | $1,007.71 | $676.43 |
| South Carolina | $1,001.42 | $690.02 |
| Kentucky | $994.89 | $695.28 |
| Maine | $984.70 | $662.69 |
| Vermont | $983.41 | $649.76 |
| Oklahoma | $977.75 | $676.80 |
| North Carolina | $976.49 | $662.06 |
| North Dakota | $974.12 | $637.11 |
| Minnesota | $971.85 | $625.06 |
| South Dakota | $964.54 | $627.52 |
| Mississippi | $958.44 | $668.27 |
| Indiana | $952.89 | $640.48 |
| Tennessee | $951.94 | $645.60 |
| Idaho | $948.03 | $637.97 |
| Kansas | $945.22 | $640.56 |
| Wisconsin | $942.19 | $619.33 |
| Alabama | $940.92 | $646.04 |
| Nebraska | $936.34 | $625.28 |
| Iowa | $935.42 | $627.05 |
| Arkansas | $926.88 | $637.39 |

## 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 59426 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