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Vaginal Delivery After A Prior Cesarean, Full Maternity Care

Washington rates for HCPCS 59610

This covers the complete package of pregnancy care for a vaginal delivery in a patient who has previously had a cesarean delivery, including care throughout the pregnancy, the delivery itself, and the recovery period afterward. It reflects the additional monitoring and planning involved in attempting a vaginal birth after a prior cesarean. It includes an episiotomy or the use of forceps if either becomes necessary.

Rates data updated October 2026.

How much does Vaginal Delivery After A Prior Cesarean, Full Maternity Care cost?

$4,678

Typical total for the visit. In Washington, October 2026.

Insurers have agreed to pay about $4,678 for this procedure. That total is two separate charges: $3,631 to the doctor who performs it, and $1,047 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,631$2,570 to $5,370
Facility feeThe hospital or surgery center$1,047$708 to $2,630

How much rates vary

Facilitymedian $1,047 · 10th to 90th $603 to $4,266Professionalmedian $3,631 · 10th to 90th $912 to $7,079
$500$1K$2K$5K$10K$20Kfacility $1,047professional $3,631

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$4,265.80
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,570.88
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$1,737.80
Typical High
$15,488.17
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$17,782.79
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$776.25
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,884.03
Typical High
$7,244.36
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$5,011.87
Typical High
$6,165.95
Molina
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$3,715.35
Typical High
$6,456.54
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$4,168.69
Typical High
$4,786.30
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$6,918.31
United
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$891.25
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$3,715.35
Typical High
$7,943.28
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,235.94
Typical High
$4,677.35
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$524.81
Median
$549.54
Typical High
$549.54

Where Washington sits

The same service costs 4.3 times more in Alaska than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Washington· 27th of 51

$4,678

$3,631 physician + $1,047 facility

AK $12,394AR $2,907

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.