go back

Reconnecting The Sperm Duct To The Epididymis

Utah 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?

$1,230

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,047 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 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$1,047$1,000 to $1,585
FacilityA hospital or hospital-owned outpatient department$4,571$3,162 to $6,918

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,023 to $8,710Professionalmedian $1,047 · 10th to 90th $813 to $2,042
$50$200$1K$5Kfacility $4,571professional $1,047

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
$1,023.29
Median
$4,570.88
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,621.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,981.07
Typical High
$6,165.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,318.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,318.26
Typical High
$1,513.56
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,659.59

Where Utah sits

The same service costs 7.8 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 33rd of 51

$1,230

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.