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Attempted Vaginal Birth After Cesarean, Complete Care

Maryland 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?

$2,692

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $2,291 to $5,623.

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

Professionalmedian $2,692 · 10th to 90th $2,089 to $10,715
$2K$5K$10Kprofessional $2,692

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
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,630.27
Typical High
$10,964.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$6,025.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,951.21
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,398.83
Typical High
$4,677.35
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,548.13
Typical High
$3,981.07

Where Maryland 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.

Maryland· 31st of 51

$2,692

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.