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Vaginal Delivery After Prior Cesarean

New York 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?

$5,454

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $5,454 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $4,074 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$977 to $1,778
Facility feeThe hospital or surgery center$4,074$1,905 to $6,918

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,122 to $9,333Professionalmedian $1,380 · 10th to 90th $813 to $3,020
$50$200$1K$5Kfacility $4,074professional $1,380

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
$1,122.02
Median
$4,570.88
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,818.38
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,479.11
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,862.09
Typical High
$4,897.79
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$3,311.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,584.89
Typical High
$2,951.21
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$2,238.72
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,258.93
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,951.21
Univera
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$3,090.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$2,818.38

Where New York 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

New York· 18th of 50

$5,454

$1,380 physician + $4,074 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.