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Opening Of The Sperm Tube For Testing

Maryland rates for HCPCS 55200

A procedure that makes a small opening in the vas deferens, the tube that carries sperm from the testicle, and passes a fine tube into it. Dye or fluid can then be injected to check whether the passage is open along its length. It may be done on one side or both, through a small cut in the scrotum.

Rates data updated July 2026.

How much does Opening Of The Sperm Tube For Testing cost?

$398

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $309 to $479.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,622 to $7,244Professionalmedian $398 · 10th to 90th $275 to $1,175
$500$1K$2K$5Kfacility $1,738professional $398

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$489.78
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$602.56

Where Maryland sits

The same service costs 8.9 times more in California than in West Virginia. 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.

Maryland· 47th of 51

$398

CA $3,388WV $380

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.