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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 July 2026.

How much does Vaginal Delivery After Prior Cesarean cost?

$6,483

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

Insurers have agreed to pay about $6,483 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $4,898 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$1,585$1,023 to $3,890
Facility feeThe hospital or surgery center$4,898$3,467 to $6,761

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,318 to $8,318Professionalmedian $1,585 · 10th to 90th $794 to $4,074
$1K$2K$5K$10Kfacility $4,898professional $1,585

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,318.26
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,905.46
Typical High
$2,398.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,073.80
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,309.57
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,398.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,380.38

Where Iowa sits

The same service costs 5.7 times more in California than in West Virginia. 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· 12th of 50

$6,483

$1,585 physician + $4,898 facility

CA $10,621WV $1,855

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.