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Vaginal Delivery After Prior Cesarean

Hawaii rates for HCPCS 59612

This covers the delivery itself when a person gives birth vaginally after having had a cesarean delivery in the past, sometimes called a VBAC. It may include an episiotomy or the use of forceps if needed during delivery, but it covers only the birth, not the pregnancy check-ups before or the follow-up care after. It reflects the specialized monitoring and care involved in safely delivering vaginally after a prior cesarean.

Rates data updated October 2026.

How much does Vaginal Delivery After Prior Cesarean cost?

$1,047

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $145 to $1,096.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,778 to $4,467Professionalmedian $1,047 · 10th to 90th $30 to $1,148
$50$100$200$500$1K$2K$5Kfacility $2,818professional $1,047

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$851.14
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
HMSA
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$1,071.52
Typical High
$1,148.15
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$35.48
Median
$47.86
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$912.01
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,318.26
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$776.25
Typical High
$1,148.15
1 more rate 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
HMSA
Setting
Professional
Modifier
47 · Anesthesia by surgeon
Typical Low
$79.43
Median
$83.18
Typical High
$83.18

Where Hawaii sits

The same service costs 3.2 times more in Alaska than in Texas. 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.

Hawaii· 47th of 51

$1,047

AK $2,884TX $891

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.