go back

Reconnecting The Sperm Duct To The Epididymis

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $3,715 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 8 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$891 to $1,318
FacilityA hospital or hospital-owned outpatient department$3,715$1,202 to $7,079

How much rates vary

Facilitymedian $3,715 · 10th to 90th $912 to $9,772Professionalmedian $912 · 10th to 90th $759 to $3,467
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,715professional $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
$912.01
Median
$5,370.32
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,445.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,862.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$2,187.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,659.59
Sentara
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,621.81

Where Virginia 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.

Virginia $1,096 · 38th 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.