Vasectomy Cost: Insurance and Other Factors
The cost of a vasectomy is around $1,000. however, many factors can influence the cost of a vasectomy and what you may pay out of pocket. Certain insurance plans cover the cost of a vasectomy. The cost of a vasectomy without insurance can vary depending on who performs the vasectomy and where the procedure is performed.
This article will discuss how much a vasectomy costs, including what is included in the cost of a vasectomy. will also discuss vasectomy costs with and without insurance and alternative methods of birth control.
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The average cost of a vasectomy is $1,000, according to Planned Parenthood, a nonprofit organization that provides access to vasectomy care.
Several factors affect the total cost of a vasectomy.
Learn more about vasectomy types and recovery time.
Vasectomy is covered by many private insurance plans, according to an interview with Matt Coward, M.D., director of male reproductive medicine and fertility at UNC Fertility. (Dr. Coward is also the medical reviewer for this article.)
However, if you haven’t met your annual deductible, you may still have to pay some out-of-pocket costs. Please speak with your insurer prior to your procedure to understand all estimated costs.
If you do not have health insurance, you may be responsible for the estimated $1,000 cost of a vasectomy.
however, some doctors may be willing to work with you on a payment plan or provide their services on a sliding scale, depending on what you can afford.
Local clinics can also provide you with a low-cost vasectomy or direct you to services that can help you find affordable care.
Under the Affordable Care Act (ACA), health insurance marketplace plans are not required to cover vasectomy.
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Certain types of birth control, including hormonal pills, emergency contraception, and intrauterine devices (IUDs), do fall under the ACA coverage mandate. however, vasectomy and other methods of male sterilization do not.
Medicare does not provide coverage for elective vasectomy. Medicare may cover if you need to have a vasectomy for a medical reason other than sterilization.
For people who receive Medicaid benefits, vasectomy coverage may depend on the state in which they live.
According to KFF, a nonprofit organization formerly known as the Kaiser Family Foundation that has no affiliation with Kaiser Permanente, eight states require their state-run health plans to cover the full cost of a vasectomy:
- new jersey
- new mexico
- new york
- tubal ligation
- hormonal contraceptive implants
- hormonal birth control pills
- barrier methods, such as condoms or diaphragms
Talk to your doctor and insurer to understand coverage and estimated cost before having a vasectomy.
Vasectomy reversal is a more complex and expensive procedure than a vasectomy.
The cost range for a vasectomy reversal is $5,000 to $15,000, according to the American Urological Association (AUA). this does not include possible additional fees.
Most health insurers do not cover the cost of a vasectomy reversal. Talk to your doctor and insurance provider about the pros and cons of vasectomy reversal, including estimated out-of-pocket costs.
Learn more about what happens during a vasectomy reversal.
If you are concerned about having a vasectomy, including the full cost, there are other birth control options that you and your partner can discuss with your doctor. these include:
Learn more about types of birth control.
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Your doctor can discuss the effectiveness of all birth control methods, along with the benefits and risks, so you can choose the option that’s right for you.
Here are some other questions people often ask about vasectomy. Matt Coward, M.D., reviewed the responses.
At your follow-up semen analysis, your doctor will check for no sperm or fewer than 100,000 inactive sperm. if your test shows this, your doctor will allow you to have sex without birth control.
however, in the future, there is a 1 in 2000 risk of pregnancy due to a connection being reformed in the area of the vasectomy. this could allow sperm to travel back through the vas deferens. Your urologist will discuss your vasectomy procedure and the long-term risk of an unwanted pregnancy.
You may experience minor discomfort during a vasectomy, primarily due to the injection of local anesthetic. After the procedure, you may still have mild pain that can be effectively treated with over-the-counter medications such as ibuprofen (advil) or acetaminophen (tylenol).
however, ongoing pain is rare. Among 500,000 annual vasectomies in the United States, 1-2% of people will experience pain for more than 3 months afterwards. this is known as post-vasectomy pain syndrome.
There is no evidence that weight gain is a side effect of vasectomy.
Any man of reproductive age can have a vasectomy. A 2009 study analyzed data from a sample of 2,161 men ages 30 to 45. the researchers found that the vasectomy rate increased significantly after age 36.
The estimated cost of a vasectomy is $1,000. however, several factors influence the cost of a vasectomy, including insurance coverage and the type of procedure.
Vasectomy is covered by many health plans. however, government coverage under aca or medicare does not pay for an elective vasectomy. some states cover vasectomy through medicaid.
Talk to your doctor and insurer to understand the total estimated cost of a vasectomy. Your doctor may offer you payment plans or a sliding fee scale. They can also discuss other birth control options that may be more affordable.