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Reconnecting The Sperm Duct To The Epididymis

Pennsylvania 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?

$1,047

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $776 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 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$776$741 to $1,000
FacilityA hospital or hospital-owned outpatient department$5,129$2,512 to $6,918

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,047 to $8,511Professionalmedian $776 · 10th to 90th $708 to $1,479
$200.0$1.0K$5.0K$20.0Kfacility $5,129professional $776

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
$1,047.13
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$1,412.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$933.25
Typical High
$1,548.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,230.27
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,513.56
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,023.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$4,168.69
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,621.81

Where Pennsylvania 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.

Pennsylvania $1,047 · 43rd 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.