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Reconnecting The Sperm Duct To The Epididymis

Indiana 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?

$1,380

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $8,128 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$933$794 to $1,047
FacilityA hospital or hospital-owned outpatient department$8,128$4,898 to $9,550

How much rates vary

Facilitymedian $8,128 · 10th to 90th $1,862 to $11,220Professionalmedian $933 · 10th to 90th $776 to $1,380
$1K$2K$5K$10Kfacility $8,128professional $933

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
$1,174.90
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,317.64
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,479.11

Where Indiana sits

The same service costs 7.8 times more in California than in Delaware. 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.

Indiana· 23rd of 51

$1,380

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.