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Opening Of The Sperm Tube For Testing

New Jersey 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?

$479

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $6,026 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 5 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$407$288 to $550
FacilityA hospital or hospital-owned outpatient department$6,026$4,467 to $8,511

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,148 to $10,715Professionalmedian $407 · 10th to 90th $263 to $1,072
$500$1K$2K$5K$10Kfacility $6,026professional $407

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
$707.95
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$501.19
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$741.31
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,220.18
Typical High
$15,848.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$794.33

Where New Jersey 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.

New Jersey· 37th of 51

$479

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.