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Attempted Vaginal Birth After Cesarean, Complete Care

West Virginia 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?

$3,162

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $2,399 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 3 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$3,467$2,399 to $6,026
FacilityA hospital or hospital-owned outpatient department$2,399$2,399 to $2,399

How much rates vary

Facilitymedian $2,399 · 10th to 90th $2,399 to $3,981Professionalmedian $3,467 · 10th to 90th $2,188 to $6,026
$50$200$1K$5Kfacility $2,399professional $3,467

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
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,467.37
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,630.78
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,995.26
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$3,235.94

Where West Virginia 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.

West Virginia· 21st of 51

$3,162

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.