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Vaginal Delivery After Prior Cesarean

Iowa 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?

$4,715

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

Insurers have agreed to pay about $4,715 for this procedure. That total is two separate charges: $1,479 to the doctor who performs it, and $3,236 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,479$1,175 to $1,995
Facility feeThe hospital or surgery center$3,236$1,622 to $5,370

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,318 to $7,586Professionalmedian $1,479 · 10th to 90th $977 to $2,455
$100$200$500$1K$2K$5K$10Kfacility $3,236professional $1,479

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
$1,318.26
Median
$4,265.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,311.31
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,398.83
Hally Health
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,412.54
Typical High
$2,570.40
Medica
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$2,041.74
Midlands
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,311.31
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$3,630.78
Typical High
$8,709.64
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,398.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,380.38

Where Iowa sits

The same service costs 3.4 times more in Alaska than in Kentucky. 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

Iowa· 11th of 51

$4,715

$1,479 physician + $3,236 facility

AK $7,351KY $2,168

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.