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Reconnecting The Sperm Duct To The Epididymis

Idaho rates for HCPCS 54900

A microsurgical operation on one side of the scrotum that joins the sperm-carrying tube to the epididymis, the coiled structure behind the testicle where sperm mature. It restores a path for sperm when that junction is blocked.

Rates data updated July 2026.

How much does Reconnecting The Sperm Duct To The Epididymis cost?

$1,318

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $3,467 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 8 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$1,202$1,047 to $1,585
FacilityA hospital or hospital-owned outpatient department$3,467$1,585 to $5,012

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,023 to $7,943Professionalmedian $1,202 · 10th to 90th $813 to $1,622
$50.0$200.0$1.0K$5.0Kfacility $3,467professional $1,202

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
$3,388.44
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,235.94
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,548.82
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$2,041.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$6,606.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$1,548.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,951.21
Typical High
$4,786.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,621.81

Where Idaho sits

The same service costs 7.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $1,318 · 25th of 51
CA $6,607DE $851

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.