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Reconnecting The Sperm Duct To The Epididymis

New Jersey 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?

$1,096

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $7,244 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$891$776 to $1,413
FacilityA hospital or hospital-owned outpatient department$7,244$5,888 to $10,233

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,802 to $11,749Professionalmedian $891 · 10th to 90th $708 to $5,888
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,244professional $891

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
$4,365.16
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,071.52
Typical High
$1,995.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,348.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,918.31
Typical High
$10,715.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,698.24

Where New Jersey 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.

New Jersey $1,096 · 39th 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.