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Reconnecting The Sperm Duct To The Epididymis

Missouri 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?

$2,239

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $4,074 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 6 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$955$851 to $1,259
FacilityA hospital or hospital-owned outpatient department$4,074$2,512 to $5,623

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,585 to $8,511Professionalmedian $955 · 10th to 90th $776 to $3,020
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,074professional $955

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
$1,548.82
Median
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$933.25
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$1,047.13
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,238.72
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,949.84

Where Missouri 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.

Missouri $2,239 · 7th 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.