Tying Off The Vas Deferens

Nationwide rates for HCPCS 55450

A permanent birth-control procedure in which the vas deferens, the tube that carries sperm from the testicle, is tied off through the skin rather than through an open cut. It may be done on one side or on both.

Rates data updated July 2026.

How much does Tying Off The Vas Deferens cost?

$3,236

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $3,802 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 25 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$813	$562 to $1,148
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$3,802	$2,692 to $5,370

How much rates vary

Facilitymedian $3,802 · 10th to 90th $776 to $10,000Professionalmedian $813 · 10th to 90th $389 to $1,778

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $2,511.89 Median $4,168.69 Typical High $12,022.64	Facility	Global	$2,511.89	$4,168.69	$12,022.64
BCBS Setting Professional Modifier Global Typical Low $354.81 Median $354.81 Typical High $478.63	Professional	Global	$354.81	$354.81	$478.63
Cigna Setting Facility Modifier Global Typical Low $912.01 Median $1,230.27 Typical High $3,388.44	Facility	Global	$912.01	$1,230.27	$3,388.44
Cigna Setting Professional Modifier Global Typical Low $512.86 Median $812.83 Typical High $1,479.11	Professional	Global	$512.86	$812.83	$1,479.11

What it costs in each state

The same service costs 12.3 times more in California than in Maine. 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.

Touch or drag across the chart to see any state's rate.

CA $4,365ME $355

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.