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Reconnecting The Sperm Duct To The Epididymis

New York 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?

$1,820

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $4,571 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 9 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$759 to $1,413
FacilityA hospital or hospital-owned outpatient department$4,571$2,630 to $7,079

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,096 to $10,233Professionalmedian $1,000 · 10th to 90th $646 to $2,399
$100.0$1.0K$10.0Kfacility $4,571professional $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
$1,000.00
Median
$4,570.88
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,995.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,398.83
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,513.56
Typical High
$3,801.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,445.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,995.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,122.02
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$2,630.27
Univera
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$2,630.27
Univera
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$2,511.89

Where New York 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 York $1,820 · 11th 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.