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Reconnecting The Sperm Duct To The Epididymis

North Carolina 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?

$1,072

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $2,089 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$1,023$832 to $1,585
FacilityA hospital or hospital-owned outpatient department$2,089$1,175 to $8,318

How much rates vary

Facilitymedian $2,089 · 10th to 90th $776 to $10,471Professionalmedian $1,023 · 10th to 90th $776 to $2,344
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,089professional $1,023

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
$776.25
Median
$3,162.28
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,041.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,819.70
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$6,606.93

Where North Carolina 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.

North Carolina $1,072 · 40th 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.