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Reconnecting The Sperm Duct To The Epididymis

Massachusetts 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?

$1,288

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $3,236 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$1,000$851 to $1,738
FacilityA hospital or hospital-owned outpatient department$3,236$1,950 to $4,677

How much rates vary

Facilitymedian $3,236 · 10th to 90th $832 to $5,623Professionalmedian $1,000 · 10th to 90th $741 to $2,399
$500$1K$2K$5K$10K$20Kfacility $3,236professional $1,000

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
$1,949.84
Median
$3,388.44
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$2,398.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$33,884.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,148.15
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,202.26
Typical High
$2,187.76
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$933.25
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$794.33
Typical High
$1,174.90
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$2,290.87
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$33,884.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,148.15
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,445.44
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 27th of 51

$1,288

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.