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Tying Off The Vas Deferens

Iowa 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?

$724

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $724 for this service. Most negotiated rates run $589 to $813.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $724 · 10th to 90th $501 to $1,122Professionalmedian $724 · 10th to 90th $575 to $2,344
$100$200$500$1K$2Kfacility $724professional $724

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$676.08

Where Iowa 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.

Iowa· 10th of 36

$724

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.