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Reconnecting The Sperm Duct To The Epididymis

Ohio 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?

$1,259

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $5,129 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 7 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$912$813 to $1,445
FacilityA hospital or hospital-owned outpatient department$5,129$2,630 to $8,710

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,259 to $12,589Professionalmedian $912 · 10th to 90th $724 to $5,129
$10.0$100.0$1.0K$10.0Kfacility $5,129professional $912

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
$1,513.56
Median
$7,762.47
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,019.95
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$1,047.13
Typical High
$1,584.89
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,047.13
Typical High
$1,584.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$4,168.69
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,479.11

Where Ohio 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.

Ohio $1,259 · 29th 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.