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Vaginal Delivery After Prior Cesarean

Maryland 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?

$1,413

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $891 to $1,660.

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 $1,622 · 10th to 90th $589 to $2,754Professionalmedian $1,259 · 10th to 90th $832 to $1,820
$500$1K$2Kfacility $1,622professional $1,259

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
Professional
Modifier
None
Typical Low
$831.76
Median
$891.25
Typical High
$1,659.59
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$1,737.80
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,047.13
Typical High
$2,344.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$977.24
Typical High
$1,584.89
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,380.38
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,096.48
Typical High
$2,041.74
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,288.25
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
$416.87
Median
$436.52
Typical High
$446.68
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$165.96
Median
$177.83
Typical High
$177.83

Where Maryland 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.

Maryland· 18th of 51

$1,413

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.