go back

Attempted Vaginal Birth After Cesarean, Complete Care

South 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?

$4,677

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $3,090 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$4,786$2,512 to $6,457
FacilityA hospital or hospital-owned outpatient department$3,090$2,291 to $3,802

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,995 to $6,026Professionalmedian $4,786 · 10th to 90th $2,138 to $6,607
$2K$5Kfacility $3,090professional $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
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,290.87
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,888.44
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$4,073.80
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$4,073.80
Typical High
$5,888.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$4,365.16

Where South 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.

South Dakota· 8th of 51

$4,677

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.