go back

Attempted Vaginal Birth After Cesarean, Complete Care

Washington, DC rates for HCPCS 59618

This service covers complete pregnancy care - prenatal visits, management of labor, and after-delivery care - for a patient who attempts a vaginal delivery after having had a previous cesarean section but ultimately needs a cesarean delivery this time. It bundles the full course of pregnancy-related care into one service rather than covering each visit separately. This differs from care for a patient who successfully delivers vaginally after a prior cesarean.

Rates data updated July 2026.

How much does Attempted Vaginal Birth After Cesarean, Complete Care cost?

$2,455

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $2,399 to $2,570.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,318 to $2,754Professionalmedian $2,455 · 10th to 90th $2,188 to $3,802
$1K$2K$5K$10Kfacility $2,455professional $2,455

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$3,801.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$5,495.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,754.23
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,754.23
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$5,495.41

Where Washington, DC sits

The same service costs 3.8 times more in Alaska than in Vermont. 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.

Washington, DC· 43rd of 51

$2,455

AK $7,586VT $1,995

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.