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Attempted Vaginal Birth After Cesarean, Complete Care

Nebraska 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?

$4,786

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $4,365 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$4,786$2,570 to $6,166
FacilityA hospital or hospital-owned outpatient department$4,365$2,951 to $6,310

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,239 to $12,303Professionalmedian $4,786 · 10th to 90th $2,344 to $14,125
$2K$5K$10K$20Kfacility $4,365professional $4,786

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$4,786.30
Typical High
$14,125.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,309.57
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,890.45
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$5,623.41
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,890.45
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
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,801.89
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,466.84
Typical High
$6,025.60

Where Nebraska 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.

Nebraska· 7th of 51

$4,786

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.