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Attempted Vaginal Birth After Cesarean, Complete Care

Missouri 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?

$3,020

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $4,266 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$2,630$2,042 to $3,631
FacilityA hospital or hospital-owned outpatient department$4,266$2,692 to $5,370

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,950 to $8,913Professionalmedian $2,630 · 10th to 90th $1,820 to $4,786
$100$200$500$1K$2K$5K$10Kfacility $4,266professional $2,630

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
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$5,623.41
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$3,162.28
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,884.03
Typical High
$11,220.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,388.44
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,511.89
Typical High
$3,981.07

Where Missouri 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.

Missouri· 25th of 51

$3,020

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.