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Vaginal Delivery After Prior Cesarean

Massachusetts 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?

$4,265

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

Insurers have agreed to pay about $4,265 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $3,090 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$933 to $2,042
Facility feeThe hospital or surgery center$3,090$2,042 to $4,266

How much rates vary

Facilitymedian $3,090 · 10th to 90th $724 to $5,623Professionalmedian $1,175 · 10th to 90th $741 to $2,951
$100$200$500$1K$2K$5K$10Kfacility $3,090professional $1,175

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
$1,778.28
Median
$3,311.31
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$3,890.45
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$9,772.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,691.53
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$2,398.83
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,000.00
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$1,318.26
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$2,570.40
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$9,772.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,621.81
Typical High
$2,691.53

Where Massachusetts 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

Massachusetts· 29th of 50

$4,265

$1,175 physician + $3,090 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.