Tubal reversal is one of the few surgeries in American health care where the published price is the real price. Because virtually no insurer covers it, the clinics that do it have built an entirely cash-facing market, and most of them post a single flat number on their own website rather than making you call for a quote.
That transparency is the good news. The bad news is that the flat numbers are not measuring the same thing. One clinic’s package includes the operating room and the anesthesiologist; another’s covers the surgeon only; a third quotes a price that assumes you pay by check rather than card. This guide compares six published package prices read on September 4, 2026, and spells out what each one leaves out.
What Does a Tubal Reversal Cost Without Insurance?
Every figure below is a price published by the clinic itself and read on September 4, 2026.
| Service / Type | Low | Average | High |
|---|---|---|---|
| All-in package at a dedicated reversal center (six clinics) | $5,999 | not published | $8,500 |
| Published U.S. cost range for tubal reversal (CNY Fertility) | $5,000 | $8,500 | $20,000 |
| Cash-discounted price vs. card price, same surgery (A Personal Choice) | $7,500 | not published | $7,900 |
| Optional screening laparoscopy added at surgery (A Personal Choice) | $2,500 | not published | $2,500 |
| Booking deposit due up front | $1,500 | not published | $2,000 |
| Consultation fee where charged (Assisted Fertility Program) | $200 | not published | $300 |
| Promotional discount currently posted (California Center for Reproductive Health) | $500 | not published | $700 |
The six package prices, lowest to highest: Tubal Reversal Center in Morgan City, Louisiana at $5,999; California Center for Reproductive Health at $6,800 list, currently $6,100 with a posted discount; CNY Fertility at $6,500; NTTC Surgery Center at $7,176; A Personal Choice at $7,900 list and $7,500 if you pay in full without a card; and the Assisted Fertility Program at $8,500.
CNY Fertility’s own page describes the wider market as $5,000 to $20,000 with an average around $8,500. The upper half of that range is mostly hospital-based cases where the surgeon, the operating room and the anesthesiologist all bill separately.
Medicare data is no help here, which is itself informative. Querying the CMS Medicare Physician and Other Practitioners file (2024 claims, released May 21, 2026) for CPT 58750, tubotubal anastomosis, returns no national records at all. There is no Medicare benchmark for this procedure because Medicare does not pay for it.
What Drives the Price
Whether the quote is a bundle or a fee. This is the single biggest source of confusion. NTTC Surgery Center states that its $7,176 flat rate covers the surgeon consultation fee, the anesthesia fee and the facility fee. Tubal Reversal Center’s $5,999 covers facility, surgery and anesthesiology. The Assisted Fertility Program’s $8,500 adds pre-op and post-op care on top of surgeon, facility and anesthesia. A quote that sounds cheaper than all of these is probably a surgeon’s fee with the operating room still to come.
The surgical approach. Tubal Reversal Center prices $5,999 specifically for a mini-laparotomy and says prices for laparoscopic and robotic surgery vary by patient. Robotic and laparoscopic approaches generally carry more equipment and longer operating room time, and clinics that quote one flat number usually quote it for their standard approach only.
How you pay. A Personal Choice publishes two prices for the same operation: $7,900 as the standard base surgical fee, and $7,500 as the cash-discounted fee. The higher number applies if you pay any portion with a card of any kind, including credit, debit, HSA, FSA or medical financing. Tubal Reversal Center adds 5 percent if you pay by credit card or CareCredit. On a $6,000 surgery that surcharge is about $300.
Add-ons decided in the operating room. A Personal Choice lists an optional screening laparoscopy at $2,500 when combined with the reversal, and separate fees for tubal repair, fimbriectomy reversal and hydrosalpinx repair. Ask in advance what happens to your price if the surgeon finds the tubes are not in the condition expected.
Travel. Because so few surgeons specialize in reversal, most patients travel. Every clinic we checked excludes travel, lodging, meals and prescription medications from the package price. Budget several hundred to a couple of thousand dollars on top depending on distance and length of stay.
Cash Price vs. Insurance
There is barely an insurance side to compare against. HealthCare.gov requires most non-grandfathered plans to cover sterilization procedures with no copayment or coinsurance, but reversal is not on that preventive list, and CNY Fertility states that in most cases insurance does not cover it because it is considered elective. Some plans also carve out voluntary sterilization and its reversal explicitly.
That has one useful consequence: because these clinics are not negotiating with payers, the price on the website is not a chargemaster fantasy that gets discounted later. It is the transaction price. Unlike a hospital bill, there is usually nothing to appeal down after the fact, so the negotiating happens before you book.
It also means the cancellation terms matter more than usual. A Personal Choice requires the surgical fee in full within 24 hours of scheduling, and its posted policy forfeits 50 percent of the fee for rescheduling inside 15 to 21 days of surgery and 100 percent inside 14 days. The Assisted Fertility Program takes a $2,000 nonrefundable deposit and forfeits it if you reschedule within two weeks. Tubal Reversal Center requires $1,500 down with the balance due before surgery. Read those terms as carefully as you read the price.
How to Pay Less
Compare all-in packages, not headline numbers. Ask each clinic in writing for the surgeon’s fee, the facility fee, the anesthesia fee, pre-op testing and post-op visits as separate lines, then total them yourself. A $5,999 package that excludes anesthesia is not cheaper than a $7,176 package that includes it. Our fair price tool helps sanity-check a quote before you commit.
Pay by check or cash transfer, not card. A Personal Choice’s cash-discounted fee is $400 below its card price, and Tubal Reversal Center’s 5 percent card surcharge runs about $300 on a $5,999 package. That is real money for a payment method change.
Ask about current promotions and time the booking. California Center for Reproductive Health is posting a $700 discount for any reversal booked by December 31, 2026, and says you only need to schedule by that date, not have surgery. A Personal Choice posted $500 off quoted prices for September and October 2026 surgeries with a specific surgeon. Promotions on this procedure appear to be routine, so ask.
Ask what happens if it does not work. Two of the six clinics attach a fertility-treatment credit to the package: CNY Fertility offers a discounted IVF cycle if no pregnancy occurs within 12 months (6 months if over 35), and California Center for Reproductive Health offers a $3,000 credit toward a standard IVF cycle on the same 12-month condition. If IVF is a realistic next step, that credit is worth thousands and belongs in the comparison. See our IVF cost guide and IUI cost guide for what those cycles run.
Get the itemized bill and check it against the package. Even flat-fee surgery generates paperwork, and charges that were supposed to be included sometimes arrive as separate invoices from the anesthesia group or the facility. Our guide to reading an itemized hospital bill covers what to match line by line, and our negotiation guide covers what to do when something shows up that the package was supposed to cover.
Do not put it on a card you cannot clear. Financing is offered nearly everywhere in this market, often through Affirm or CareCredit, and deferred-interest promotions can turn a $6,500 surgery into much more if the balance is not paid inside the promotional window. If a medical balance has already gone sideways, read our guide to medical bills in collections.
The Bottom Line
Budget $6,000 to $8,500 for the surgery itself at a dedicated reversal center, plus travel, plus a few hundred dollars in card surcharges or consultation fees if you are not careful. The published prices in this market are unusually honest, but they are also unusually final, since there is no insurer behind them to discount anything later.
If you are still deciding, price the alternatives with equal precision. Our tubal ligation cost guide covers what the original procedure runs today, our vasectomy reversal cost guide covers the male equivalent, and our anesthesia cost guide explains the line item most often left out of a surgical quote.