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Tying Off The Vas Deferens

California 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?

$4,365

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $4,365 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$1,778$1,778 to $2,344
FacilityA hospital or hospital-owned outpatient department$4,365$3,020 to $5,754

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,512 to $12,882Professionalmedian $1,778 · 10th to 90th $871 to $2,344
$200$500$1K$2K$5K$10K$20Kfacility $4,365professional $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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,047.13
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$398.11
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$3,890.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,344.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$426.58
Typical High
$776.25

Where California sits

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.

California· 1st of 36

$4,365

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.