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Reconnecting The Sperm Duct To The Epididymis

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $1,380 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$1,380$1,148 to $1,622
FacilityA hospital or hospital-owned outpatient department$1,380$1,349 to $1,479

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,259 to $5,888Professionalmedian $1,380 · 10th to 90th $832 to $4,266
$100$1K$10K$100Kfacility $1,380professional $1,380

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
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,513.56
Typical High
$4,265.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,659.59
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$870.96
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,995.26

Where Montana 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.

Montana· 20th 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.