No office rate
59409 reports vaginal delivery only. Choose 59400 when the same clinician or group also furnishes routine antepartum and postpartum care.
On this page
CMS RVU26D · Effective 2026-10-01
59400 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2132.29
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Obstetrics
About 59400: Complete routine vaginal maternity care
Report this maternity package when one clinician or group provides routine prenatal care, vaginal delivery, and routine postpartum care for the pregnancy.
This package represents routine care across pregnancy, vaginal birth, and the postpartum period. It includes prenatal management and a vaginal delivery, with or without episiotomy or forceps, followed by routine postpartum care. It is typically furnished by an obstetrician or another qualified maternity-care clinician in an office and hospital setting. The delivery component is for vaginal birth, not cesarean delivery.
Report 59400 when the same clinician or group furnishes all three components. The record should support the antepartum care, delivery, and postpartum services provided; when care is divided, report the applicable components rather than the complete package. CMS treats this as a maternity code, so the usual global surgery rules do not apply. If qualifying procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50% under the standard multiple procedure reduction.
CMS billing rules for 59400
- Global period
- Maternity code: the usual global surgery rules do not apply.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU37.00 · 56%
- Practice expense (office) RVU18.76 · 28%
- Malpractice RVU10.54 · 16%
1.2K
Medicare services in 2024 · #2861 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
59400 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
59410 includes vaginal delivery and postpartum care but not the antepartum package. Use 59400 when all three care components are furnished.
$567.72
59425 covers antepartum care only within its visit range. It does not represent the vaginal delivery and postpartum care included in 59400.
No office rate
59510 represents a complete maternity package with cesarean delivery. 59400 is the complete package for vaginal delivery.
The same code, a different location
How does Modesto compare?
59400 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 59400
Office
Unavailable
Facility
$2132.29
No comparable office rate is available.
Merced
California · 59400
Office
Unavailable
Facility
$2132.29
No comparable office rate is available.
Napa
California · 59400
Office
Unavailable
Facility
$2318.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 59400
Office
Unavailable
Facility
$2230.40
No comparable office rate is available.
Redding
California · 59400
Office
Unavailable
Facility
$2132.29
No comparable office rate is available.
Rest Of California
California · 59400
Office
Unavailable
Facility
$2132.29
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 59400
Office
Unavailable
Facility
$2245.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 59400
Office
Unavailable
Facility
$2197.76
No comparable office rate is available.
Salinas
California · 59400
Office
Unavailable
Facility
$2189.07
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 59400
Office
Unavailable
Facility
$2213.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 59400
Office
Unavailable
Facility
$2398.33
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 59400
Office
Unavailable
Facility
$2386.36
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 59400
Office
Unavailable
Facility
$2464.03
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 59400
Office
Unavailable
Facility
$2415.10
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 59400
Office
Unavailable
Facility
$2159.24
No comparable office rate is available.
Santa Cruz-Watsonville
California · 59400
Office
Unavailable
Facility
$2211.80
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 59400
Office
Unavailable
Facility
$2189.75
No comparable office rate is available.
Santa Rosa-Petaluma
California · 59400
Office
Unavailable
Facility
$2231.07
No comparable office rate is available.
Stockton
California · 59400
Office
Unavailable
Facility
$2132.29
No comparable office rate is available.
Vallejo
California · 59400
Office
Unavailable
Facility
$2301.14
No comparable office rate is available.
Visalia
California · 59400
Office
Unavailable
Facility
$2132.29
No comparable office rate is available.
Yuba City
California · 59400
Office
Unavailable
Facility
$2132.29
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 59400
Office
Unavailable
Facility
$2432.53
No comparable office rate is available.
Miami
Florida · 59400
Office
Unavailable
Facility
$2778.45
No comparable office rate is available.
Chicago
Illinois · 59400
Office
Unavailable
Facility
$2682.16
No comparable office rate is available.
Manhattan
New York · 59400
Office
Unavailable
Facility
$2601.38
No comparable office rate is available.
Alaska*
Alaska · 59400
Office
Unavailable
Facility
$2715.06
No comparable office rate is available.
Alabama
Alabama · 59400
Office
Unavailable
Facility
$1983.37
No comparable office rate is available.
Arkansas
Arkansas · 59400
Office
Unavailable
Facility
$1955.39
No comparable office rate is available.
Arizona
Arizona · 59400
Office
Unavailable
Facility
$2144.36
No comparable office rate is available.
Colorado
Colorado · 59400
Office
Unavailable
Facility
$2192.31
No comparable office rate is available.
Connecticut
Connecticut · 59400
Office
Unavailable
Facility
$2361.37
No comparable office rate is available.
Delaware
Delaware · 59400
Office
Unavailable
Facility
$2177.58
No comparable office rate is available.
Fort Lauderdale
Florida · 59400
Office
Unavailable
Facility
$2507.08
No comparable office rate is available.
Rest Of Florida
Florida · 59400
Office
Unavailable
Facility
$2363.99
No comparable office rate is available.
Atlanta
Georgia · 59400
Office
Unavailable
Facility
$2298.97
No comparable office rate is available.
Rest Of Georgia
Georgia · 59400
Office
Unavailable
Facility
$2214.40
No comparable office rate is available.
Hawaii, Guam
Hawaii · 59400
Office
Unavailable
Facility
$2152.11
No comparable office rate is available.
Iowa
Iowa · 59400
Office
Unavailable
Facility
$1948.94
No comparable office rate is available.
Idaho
Idaho · 59400
Office
Unavailable
Facility
$1978.82
No comparable office rate is available.
East St. Louis
Illinois · 59400
Office
Unavailable
Facility
$2521.33
No comparable office rate is available.
Rest Of Illinois
Illinois · 59400
Office
Unavailable
Facility
$2358.17
No comparable office rate is available.
Suburban Chicago
Illinois · 59400
Office
Unavailable
Facility
$2511.83
No comparable office rate is available.
Indiana
Indiana · 59400
Office
Unavailable
Facility
$1987.79
No comparable office rate is available.
Kansas
Kansas · 59400
Office
Unavailable
Facility
$1979.71
No comparable office rate is available.
Kentucky
Kentucky · 59400
Office
Unavailable
Facility
$2115.00
No comparable office rate is available.
New Orleans
Louisiana · 59400
Office
Unavailable
Facility
$2225.39
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 59400
Office
Unavailable
Facility
$2127.63
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 59400
Office
Unavailable
Facility
$2347.98
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 59400
Office
Unavailable
Facility
$2196.00
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 59400
Office
Unavailable
Facility
$2363.43
No comparable office rate is available.
Rest Of Maryland
Maryland · 59400
Office
Unavailable
Facility
$2205.49
No comparable office rate is available.
Rest Of Maine
Maine · 59400
Office
Unavailable
Facility
$2031.28
No comparable office rate is available.
Southern Maine
Maine · 59400
Office
Unavailable
Facility
$2078.94
No comparable office rate is available.
Detroit
Michigan · 59400
Office
Unavailable
Facility
$2434.05
No comparable office rate is available.
Rest Of Michigan
Michigan · 59400
Office
Unavailable
Facility
$2205.38
No comparable office rate is available.
Minnesota
Minnesota · 59400
Office
Unavailable
Facility
$1984.81
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 59400
Office
Unavailable
Facility
$2168.16
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 59400
Office
Unavailable
Facility
$2185.11
No comparable office rate is available.
Rest Of Missouri
Missouri · 59400
Office
Unavailable
Facility
$2118.86
No comparable office rate is available.
Mississippi
Mississippi · 59400
Office
Unavailable
Facility
$2035.50
No comparable office rate is available.
Montana**
Montana · 59400
Office
Unavailable
Facility
$2213.78
No comparable office rate is available.
North Carolina
North Carolina · 59400
Office
Unavailable
Facility
$2045.41
No comparable office rate is available.
North Dakota**
North Dakota · 59400
Office
Unavailable
Facility
$2005.36
No comparable office rate is available.
Nebraska
Nebraska · 59400
Office
Unavailable
Facility
$1947.26
No comparable office rate is available.
New Hampshire
New Hampshire · 59400
Office
Unavailable
Facility
$2196.16
No comparable office rate is available.
Northern Nj
New Jersey · 59400
Office
Unavailable
Facility
$2416.53
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 59400
Office
Unavailable
Facility
$2355.71
No comparable office rate is available.
New Mexico
New Mexico · 59400
Office
Unavailable
Facility
$2233.23
No comparable office rate is available.
Nevada**
Nevada · 59400
Office
Unavailable
Facility
$2156.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 59400
Office
Unavailable
Facility
$2713.70
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 59400
Office
Unavailable
Facility
$2403.55
No comparable office rate is available.
Queens
New York · 59400
Office
Unavailable
Facility
$2563.22
No comparable office rate is available.
Rest Of New York
New York · 59400
Office
Unavailable
Facility
$2078.59
No comparable office rate is available.
Ohio
Ohio · 59400
Office
Unavailable
Facility
$2162.78
No comparable office rate is available.
Oklahoma
Oklahoma · 59400
Office
Unavailable
Facility
$2068.93
No comparable office rate is available.
Portland
Oregon · 59400
Office
Unavailable
Facility
$2213.68
No comparable office rate is available.
Rest Of Oregon
Oregon · 59400
Office
Unavailable
Facility
$2107.42
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 59400
Office
Unavailable
Facility
$2330.36
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 59400
Office
Unavailable
Facility
$2143.74
No comparable office rate is available.
Puerto Rico
Puerto Rico · 59400
Office
Unavailable
Facility
$2216.09
No comparable office rate is available.
Rhode Island
Rhode Island · 59400
Office
Unavailable
Facility
$2220.62
No comparable office rate is available.
South Carolina
South Carolina · 59400
Office
Unavailable
Facility
$2114.05
No comparable office rate is available.
South Dakota**
South Dakota · 59400
Office
Unavailable
Facility
$1980.72
No comparable office rate is available.
Tennessee
Tennessee · 59400
Office
Unavailable
Facility
$1994.46
No comparable office rate is available.
Austin
Texas · 59400
Office
Unavailable
Facility
$2213.16
No comparable office rate is available.
Beaumont
Texas · 59400
Office
Unavailable
Facility
$2133.09
No comparable office rate is available.
Brazoria
Texas · 59400
Office
Unavailable
Facility
$2141.28
No comparable office rate is available.
Dallas
Texas · 59400
Office
Unavailable
Facility
$2173.11
No comparable office rate is available.
Fort Worth
Texas · 59400
Office
Unavailable
Facility
$2171.42
No comparable office rate is available.
Galveston
Texas · 59400
Office
Unavailable
Facility
$2159.43
No comparable office rate is available.
Houston
Texas · 59400
Office
Unavailable
Facility
$2352.35
No comparable office rate is available.
Rest Of Texas
Texas · 59400
Office
Unavailable
Facility
$2148.37
No comparable office rate is available.
Utah
Utah · 59400
Office
Unavailable
Facility
$2140.97
No comparable office rate is available.
Virginia
Virginia · 59400
Office
Unavailable
Facility
$2100.33
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 59400
Office
Unavailable
Facility
$2216.09
No comparable office rate is available.
Vermont
Vermont · 59400
Office
Unavailable
Facility
$2034.30
No comparable office rate is available.
Rest Of Washington
Washington · 59400
Office
Unavailable
Facility
$2179.62
No comparable office rate is available.
Seattle (King Cnty)
Washington · 59400
Office
Unavailable
Facility
$2354.09
No comparable office rate is available.
Wisconsin
Wisconsin · 59400
Office
Unavailable
Facility
$1944.55
No comparable office rate is available.
West Virginia
West Virginia · 59400
Office
Unavailable
Facility
$2284.13
No comparable office rate is available.
Wyoming**
Wyoming · 59400
Office
Unavailable
Facility
$2122.95
No comparable office rate is available.
See how rates vary across the country
59400 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 59400 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2345.52
$2132.29 × 110% = $2345.52
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 59400 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,655
- Code
- 59400
- Physician work
- 37.00
- Practice expense
- 18.76
- Malpractice
- 10.54
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.00 | × 1.017 | 37.6290 |
| Practice expense | 18.76 | × 1.096 | 20.5610 |
| Malpractice | 10.54 | × 0.536 | 5.6494 |
| Total RVUs | 63.8394 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$2132.29
Open 59400 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 37 | 1.017 |
| Practice expense | 18.76 | 1.096 |
| Malpractice | 10.54 | 0.536 |
(37 × 1.017 + 18.76 × 1.096 + 10.54 × 0.536) × $33.4009 = $2132.29
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
59400 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2132.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $2132.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $2132.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $2132.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $2306.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $2306.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $2306.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $2306.54 | RVU25A |
59400 billing questions
When should 59400 be used instead of 59409?
Use 59400 when the clinician or group provides routine antepartum care, vaginal delivery, and postpartum care. Code 59409 is for the vaginal delivery component only.
Can 59400 be reported if another clinician provided postpartum care?
No. The complete package represents all three components; when care is divided, report the applicable services furnished by each clinician or group.
Does 59400 include forceps or episiotomy during vaginal delivery?
The vaginal delivery component includes delivery with or without forceps or episiotomy. The package also includes routine antepartum and postpartum care.
How does CMS apply the global surgery rules to 59400?
59400 is a maternity code, and the usual global surgery rules do not apply. Its package is defined by the obstetric care furnished across pregnancy, delivery, and postpartum care.
What happens if another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other qualifying procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,65259320,,Revision of cervix,A,,2.42,0.90,NA,0.90,,0.79,4.11,4.11,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65359325,,Revision of cervix,A,,3.96,1.22,NA,1.22,,1.27,6.45,6.45,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65459350,,Repair of uterus,A,,4.82,1.02,NA,1.02,,1.53,7.37,7.37,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65559400,,Obstetrical care,A,,37.00,18.76,NA,18.76,,10.54,66.30,66.30,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65659409,,Obstetrical care,A,,14.37,3.22,NA,3.22,,4.02,21.61,21.61,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65759410,,Obstetrical care,A,,18.76,5.13,NA,5.13,,5.34,29.23,29.23,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65859412,,Antepartum manipulation,A,,1.71,0.57,NA,0.57,,0.54,2.82,2.82,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536