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Attempted Vaginal Birth After Cesarean, Complete Care

North Dakota 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?

$5,248

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $2,291 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 5 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$5,370$2,512 to $6,310
FacilityA hospital or hospital-owned outpatient department$2,291$2,291 to $2,291

How much rates vary

Facilitymedian $2,291 · 10th to 90th $2,291 to $2,291Professionalmedian $5,370 · 10th to 90th $2,291 to $6,918
$2K$5Kfacility $2,291professional $5,370

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
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,888.44
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,786.30
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$4,073.80
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$4,073.80
Typical High
$6,025.60

Where North Dakota 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 Dakota· 5th of 51

$5,248

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.