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Attempted Vaginal Birth After Cesarean, Complete Care

Iowa 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?

$3,981

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $3,802 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$2,570 to $7,413
FacilityA hospital or hospital-owned outpatient department$3,802$2,884 to $4,898

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,630 to $6,607Professionalmedian $4,074 · 10th to 90th $2,042 to $10,965
$1K$2K$5K$10K$20Kfacility $3,802professional $4,074

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
$1,862.09
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,801.89
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,888.44
Typical High
$7,413.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,981.07
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,128.61
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$6,025.60
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,235.94
Typical High
$6,025.60
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,548.13
Typical High
$4,168.69

Where Iowa 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.

Iowa· 11th of 51

$3,981

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.