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Attempted Vaginal Birth After Cesarean, Complete Care

North Carolina 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?

$3,311

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $3,311 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 6 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$3,311$2,455 to $5,129
FacilityA hospital or hospital-owned outpatient department$3,311$2,630 to $4,677

How much rates vary

Facilitymedian $3,311 · 10th to 90th $2,042 to $8,710Professionalmedian $3,311 · 10th to 90th $2,188 to $6,457
$10$100$1K$10Kfacility $3,311professional $3,311

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
$6.92
Median
$3,548.13
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,630.27
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,311.31
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$5,754.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$4,466.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,677.35
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$4,570.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$16,595.87
Typical High
$16,595.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$23,442.29

Where North Carolina 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.

North Carolina· 19th of 51

$3,311

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.