Obstetrics & Gynecology reimbursement
by service line
Compare commercial OB/GYN rates for maternity care, delivery, ultrasound, office visits, preventive care, screening, and selected reproductive services.
Compare national obstetrics and gynecology rates by payer
Review maternity and delivery benchmarks alongside ultrasound, office, preventive, and reproductive service lines without blending unlike payment structures.
Aetna state variation for 59400
National 59400 rate distribution
Each marker shows the national average published rate across billing entities for that payer.
National 59400 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Q2 2026 | 45,547 | $3,708.92 | ||||
| Cigna | Q2 2026 | 1,486 | $7,781.54 | ||||
| United | Q2 2026 | 72,137 | $3,634.12 |
- Source
- Negotiated rates published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for routine obstetric care with vaginal delivery (59400).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific OB/GYN providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
OB/GYN provider rates by payer
| Provider entity | State | Size | $ per reported maternity code | Gap to median | Position in Aetna range |
|---|
Named provider examples are available in a scoped obstetrics & gynecology market comparison.
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.How reimbursement changes across OB/GYN services
Keep global maternity, delivery-only, ultrasound, office visits, screening, devices, and reproductive services in their appropriate billing context.
| Service line / billing code | Nat'l avg | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|---|
$ per service · 4 codes | |||||
59400Routine obstetric care with vaginal delivery | $3,708.92 | — | |||
59426Antepartum care only, seven or more visits | $1,354.85 | — | |||
59510Routine obstetric care with cesarean delivery | $3,949.47 | — | |||
59514Cesarean delivery only | $1,597.57 | — | |||
$ per service · 6 codes | |||||
76801First-trimester obstetric ultrasound, single fetus | $189.83 | — | |||
76805Obstetric ultrasound at 14 weeks or later, single fetus | $217.68 | — | |||
76811Detailed fetal anatomy ultrasound, single fetus | $300.90 | — | |||
76816Follow-up obstetric ultrasound, per fetus | $173.34 | — | |||
76817Transvaginal obstetric ultrasound | $149.22 | — | |||
76819Fetal biophysical profile without non-stress testing | $140.42 | — | |||
$ per service · 2 codes | |||||
76830Transvaginal non-obstetric ultrasound | $186.48 | — | |||
76856Complete pelvic ultrasound | $171.62 | — | |||
$ per visit · 11 codes | |||||
99203New patient office visit, low complexity | $132.86 | — | |||
99204New patient office visit, moderate complexity | $206.36 | — | |||
99211Established patient office visit, minimal service | $23.93 | — | |||
99212Established patient office visit, straightforward complexity | $58.01 | — | |||
99213Established patient office visit, low complexity | $97.51 | — | |||
99214Established patient office visit, moderate complexity | $142.79 | — | |||
99215Established patient office visit, high complexity | $202.09 | — | |||
99385Preventive visit, new patient age 18–39 | $168.23 | — | |||
99386Preventive visit, new patient age 40–64 | $197.22 | — | |||
99395Preventive visit, established patient age 18–39 | $149.70 | — | |||
99396Preventive visit, established patient age 40–64 | $161.73 | — | |||
$ per service · 6 codes | |||||
77067Bilateral screening mammography with computer-aided detection | $209.71 | — | |||
81001Automated urinalysis with microscopy | $4.91 | — | |||
81002Non-automated urinalysis without microscopy | $4.66 | — | |||
81025Urine pregnancy test | $11.02 | — | |||
J7298Levonorgestrel intrauterine contraceptive system, 52 mg | $1,643.66 | — | |||
S4016Frozen in vitro fertilization cycle, case rate | $2,826.12 | — | |||
Tell us the services, payers, states, and networks you need. We'll confirm available coverage and scope the comparison on a 20-minute call.
Book a 20-min scoping call No trial or data preparation required.How these OB/GYN rates are calculated
Use this methodology to understand what each published rate represents and which billing details must match before comparing OB/GYN services.
- Rate sourceEach value is a negotiated professional OB/GYN rate published in a payer machine-readable file, not a claim, charge, or facility payment.
- Rate calculationNational figures use eligible published rate records across the country; state views use records tied to the selected state. Averages are not weighted by delivery or procedure volume or by patient mix.
- Provider entityNamed examples use payer-file NPI and TIN records. An entity may represent a clinician, group practice, health system, or another billing organization.
- Comparable ratesMatch the exact service and package scope, billing code, modifier or component, site of service, payment unit, payer product, and network. Facility, drug, and device payments may be separate.
Get the obstetrics & gynecology reimbursement data you're looking for
Choose the services, payers, states, networks, and provider entities relevant to your question. We'll confirm the available coverage and prepare the comparison.
- Tell us your marketShare the specialty, geography, payers, networks, and providers.
- We find comparable ratesPayerPrice aligns billing codes, services, settings, and units.
- Get your market viewSee relevant payer and provider rates organized around your question.
We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.
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How to interpret OB/GYN rates
How to interpret the selected market and payer-published rates.
Are global maternity and delivery-only rates comparable?
No. Global maternity packages and delivery-only services include different work and should be benchmarked separately.
How should obstetric ultrasound rates be interpreted?
Ultrasound codes differ by gestational timing, anatomy, approach, and follow-up status. Compare the same code and professional billing context.
Are office, surgical, and maternity services pooled?
No. The page keeps these service families separate so their payment structures remain visible.
Which billing details change an OB/GYN rate comparison?
Confirm the exact code, whether maternity care is global, delivery-only, or antepartum-only, the imaging component or modifier, site of service, payer product, and network.
How are named OB/GYN providers selected?
The public table shows billing entities from different points in the selected payer's rate range. An entity may be an individual clinician, group practice, health system, or another billing organization.