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Vaginal Delivery After Prior Cesarean

Pennsylvania 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?

$2,637

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

Insurers have agreed to pay about $2,637 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $1,660 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$977$851 to $1,288
Facility feeThe hospital or surgery center$1,660$891 to $3,548

How much rates vary

Facilitymedian $1,660 · 10th to 90th $646 to $6,026Professionalmedian $977 · 10th to 90th $759 to $1,660
$500$1K$2K$5K$10Kfacility $1,660professional $977

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
$831.76
Median
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$851.14
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$371.54
Median
$426.58
Typical High
$446.68
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$147.91
Median
$173.78
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$6,025.60
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$1,659.59
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,659.59
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,479.11
Typical High
$1,862.09
Geisinger
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,819.70
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$851.14
Typical High
$1,380.38
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$371.54
Median
$426.58
Typical High
$446.68
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$147.91
Median
$173.78
Typical High
$177.83
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,778.28
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$912.01
Typical High
$1,659.59
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,318.26
Typical High
$4,466.84
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,698.24

Where Pennsylvania 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

Pennsylvania· 47th of 51

$2,637

$977 physician + $1,660 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.