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Attempted Vaginal Birth After Cesarean, Complete Care

Hawaii 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?

$2,570

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $2,291 to $3,162.

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 $2,512 · 10th to 90th $2,512 to $2,512Professionalmedian $2,570 · 10th to 90th $1,995 to $3,467
$50$100$200$500$1K$2Kfacility $2,512professional $2,570

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
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,570.40
Typical High
$3,235.94
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,691.53
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,884.03
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,715.35
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$2,344.23
Typical High
$3,467.37

Where Hawaii 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.

Hawaii· 35th of 51

$2,570

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.