# CPT 59430: Postpartum Care Only Separate Procedure

Medicare CPT 59430 pays $261.20 in a non-facility setting and $161.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $228.96 in Arkansas to $309.16 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/59430-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $261.20 |
| National facility | $161.66 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $309.16 | $203.16 |
| District of Columbia | $292.35 | $175.10 |
| New York | $291.55 | $180.51 |
| Florida | $290.69 | $190.83 |
| Illinois | $285.42 | $189.24 |
| New Jersey | $284.76 | $172.68 |
| Connecticut | $279.26 | $172.06 |
| Washington | $275.31 | $161.83 |
| Massachusetts | $274.63 | $162.81 |
| California | $273.51 | $155.74 |
| Maryland | $270.20 | $166.44 |
| Michigan | $266.22 | $172.76 |
| Hawaii | $265.10 | $151.93 |
| Rhode Island | $263.98 | $161.16 |
| Colorado | $263.62 | $157.72 |
| New Hampshire | $262.39 | $158.78 |
| Puerto Rico | $262.09 | $161.46 |
| Virgin Islands | $262.09 | $161.46 |
| Pennsylvania | $261.77 | $164.27 |
| Georgia | $261.74 | $166.79 |
| Montana | $261.13 | $161.60 |
| Oregon | $260.14 | $155.28 |
| West Virginia | $258.34 | $171.84 |
| Texas | $257.70 | $159.70 |
| New Mexico | $257.17 | $165.90 |
| Delaware | $257.15 | $158.81 |
| Nevada | $256.19 | $156.55 |
| Wyoming | $253.21 | $153.67 |
| Arizona | $252.96 | $156.51 |
| Louisiana | $251.95 | $161.07 |
| Ohio | $250.75 | $159.87 |
| Utah | $250.69 | $157.12 |
| Missouri | $250.59 | $159.25 |
| Virginia | $250.07 | $152.23 |
| South Carolina | $247.24 | $155.27 |
| Kentucky | $244.94 | $156.45 |
| Vermont | $244.79 | $146.25 |
| Maine | $244.25 | $149.14 |
| Minnesota | $243.13 | $140.71 |
| North Dakota | $242.94 | $143.41 |
| North Carolina | $241.87 | $149.00 |
| Oklahoma | $241.19 | $152.31 |
| South Dakota | $240.79 | $141.26 |
| Indiana | $236.43 | $144.16 |
| Mississippi | $236.09 | $150.39 |
| Tennessee | $235.78 | $145.31 |
| Idaho | $235.17 | $143.60 |
| Wisconsin | $234.77 | $139.41 |
| Kansas | $234.15 | $144.17 |
| Nebraska | $232.62 | $140.75 |
| Alabama | $232.49 | $145.40 |
| Iowa | $232.22 | $141.14 |
| Arkansas | $228.96 | $143.46 |

## 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 59430 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