CPT 59400
Routine obstetric care with vaginal delivery
- Aetna
- $3,015.18
- Cigna
- $3,601.26
- United
- $4,063.61
- Anthem
- $4,790.95
Obstetrics & Gynecology reimbursement rates in Colorado
Explore obstetrics & gynecology reimbursement rates in Colorado. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
7,583,180 national provider-rate observations4 payers in national source data50 states in national dataset29 billing codes in national dataset
Rate data shownJun–Jul 2026About these rates
Obstetrics & Gynecology rate explorerThree reference services
Rate measure$ per reported maternity code
Billing contextProfessional obstetrics and gynecology
Colorado obstetrics & gynecology reference averages
Publication period: Jun–Jul 2026CPT 59510
Routine obstetric care with cesarean delivery
- Aetna
- $3,201.65
- Cigna
- $3,850.16
- United
- $4,503.33
- Anthem
- $5,258.04
CPT 76801
First-trimester obstetric ultrasound, single fetus
- Aetna
- $174.75
- Cigna
- $202.71
- United
- $236.47
- Anthem
- $249.78
National obstetrics & gynecology rates by payer
Review maternity and delivery benchmarks alongside ultrasound, office, preventive, and reproductive service lines without blending unlike payment structures.
Aetna state variation for 59400
LowerHigher
Colorado
Select a state to reveal payer percentiles and provider examples.National 59400 rate distribution
PayerMedian
Published rate$ per reported maternity code
$2,500$3,000$3,500$4,000$4,500
AetnaJun–Jul 2026
AetnaProviders61,943Average$3,269.18
$2,800median
CignaJun–Jul 2026
CignaProviders70,313Average$3,897.57
$3,358.10median
UnitedJun–Jul 2026
UnitedProviders72,137Average$3,634.12
$3,308.14median
AnthemJun–Jul 2026
AnthemProviders60,022Average$4,411.89
$3,666.29median
Each marker shows the national median published rate across billing entities for that payer.
National 59400 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 61,943 | $2,800 | $3,269.18 | |||
| Cigna | Jun–Jul 2026 | 70,313 | $3,358.10 | $3,897.57 | |||
| United | Jun–Jul 2026 | 72,137 | $3,308.14 | $3,634.12 | |||
| Anthem | Jun–Jul 2026 | 60,022 | $3,666.29 | $4,411.89 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts 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.
National: OB/GYN provider rates by payer (CPT 59400)
| Provider entity | State | Size | $ per reported maternity code | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| UNIVERSITY HEALTH PHYSICIANSNPI 1003819137 · Tax ID 431009163 | MO | 786 | $1,781.04 | -$1,018.96 | Below P25 |
| FRANKLIN HEALTHCARE FOR WOMEN PLLCNPI 1639183155 · Tax ID 200752862 | TN | 2 | $2,013.05 | -$786.95 | Below P25 |
| ALLCARE IPANPI 1598843096 · Tax ID 770243333 | CA | 880 | $2,197.76 | -$602.24 | Below P25 |
| MOSAIC MEDICAL CENTER - MARYVILLENPI 1184189797 · Tax ID 832249459 | MO | 481 | $2,453.72 | -$346.28 | P25 to median |
| PHYSICIANS FOR WOMEN PLLCNPI 1578579652 · Tax ID 320097050 | MI | 6 | $2,800 | +$0 | Median to P75 |
| SUTTER COAST HOSPITALNPI 1942388830 · Tax ID 942988520 | CA | 129 | Above P75 |
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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 | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per service · 4 codes | ||||
59400Routine obstetric care with vaginal delivery | $3,269.18 | $3,897.57 | $3,634.12 | $4,411.89 |
59426Antepartum care only, seven or more visits | $1,193.36 | $1,451.34 | $1,560.69 | $1,592.01 |
59510Routine obstetric care with cesarean delivery | $3,461.04 | $4,257.41 | $3,980.52 | $4,692 |
59514Cesarean delivery only | $1,399.98 | $1,624.05 | $1,586.71 | $1,915.10 |
$ per service · 6 codes | ||||
76801First-trimester obstetric ultrasound, single fetus | $167.91 | $204.74 | $196.76 | $246.79 |
76805Obstetric ultrasound at 14 weeks or later, single fetus | $192.87 | $234.22 | $225.61 | $280.95 |
76811Detailed fetal anatomy ultrasound, single fetus | $259.59 | $312.80 | $294.63 | $384.23 |
76816Follow-up obstetric ultrasound, per fetus | $153.04 | $184.79 | $180.78 | $215.12 |
76817Transvaginal obstetric ultrasound | $132.79 | $160.52 | $155.26 | $196.69 |
76819Fetal biophysical profile without non-stress testing | $123.47 | $149.26 | $142.60 | $182.58 |
$ per service · 2 codes | ||||
76830Transvaginal non-obstetric ultrasound | $165.85 | $199.54 | $195.08 | $230.87 |
76856Complete pelvic ultrasound | $150.77 | $182.48 | $177.63 | $217.93 |
$ per visit · 11 codes | ||||
99203New patient office visit, low complexity | $118.97 | $153.52 | $172.67 | $162.71 |
99204New patient office visit, moderate complexity | $185.25 | $237.21 | $262.53 | $249.01 |
99211Established patient office visit, minimal service | $21.30 | $26.25 | $35.86 | $30.49 |
99212Established patient office visit, straightforward complexity | $52.30 | $66.29 | $74.66 | $70.68 |
99213Established patient office visit, low complexity | $88.05 | $112.16 | $122.02 | $116.54 |
99214Established patient office visit, moderate complexity | $128.82 | $164.27 | $176.80 | $165.95 |
99215Established patient office visit, high complexity | $181 | $232.95 | $240.94 | $233.48 |
99385Preventive visit, new patient age 18–39 | $149.32 | $181.49 | $206.16 | $196.40 |
99386Preventive visit, new patient age 40–64 | $175.28 | $213.18 | $238.05 | $228.30 |
99395Preventive visit, established patient age 18–39 | $133.15 | $162.78 | $184.82 | $177.87 |
99396Preventive visit, established patient age 40–64 | $144.05 | $175.35 | $197.18 | $190.30 |
$ per service · 6 codes | ||||
77067Bilateral screening mammography with computer-aided detection | $181.04 | $223.37 | $213.79 | $269.85 |
81001Automated urinalysis with microscopy | $4.05 | $6.34 | $3.21 | $5.13 |
81002Non-automated urinalysis without microscopy | $4.01 | $5.83 | $3.27 | $4.63 |
81025Urine pregnancy test | $9.72 | $13.86 | $8.03 | $10.71 |
J7298Levonorgestrel intrauterine contraceptive system, 52 mg | $1,521.61 | $1,307.22 | $1,420 | $1,408.33 |
S4016Frozen in vitro fertilization cycle, case rate | $3,206.87 | $2,696.62 | $966.35 | $497.46 |
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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.
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Explore obstetrics & gynecology rates by state
Choose a state to compare payer reference averages for common services.
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.