Tubal Ligation Reversal Cost

• For patients not covered by health insurance, a tubal ligation reversal costs between $5,000 and $8,000 or more. For example, Dr. Dan Martin[1] in Memphis, Tenn., charges $5,293 to $6,970, depending on the patient's body mass index. And the Chapel Hill Tubal Reversal Center[2] in North Carolina charges $6,400 to $6,900, depending on which doctor performs the procedure. Reproductive Associates of Delaware charges about $7,650, including initial consultations and testing, surgery, an outpatient facility fee, anesthesia, and a follow-up test to make sure the fallopian tubes are open.
• Tubal ligation reversal typically is not covered by health insurance plans. For patients whose plans do cover tubal ligation reversal, typical out-of-pocket costs would consist of an office visit copay and coinsurance of 10 to 30 percent -- possibly $2,000 or more.

• First, there will be an initial consultation with the doctor and a physical exam to make sure the reproductive organs are normal, as well as a hormone test early in a menstrual cycle to make sure the ovaries are functioning correctly. The doctor also will perform a dye test to look at the fallopian tubes and make sure they are normal and long enough for a reversal.
• On the day of the procedure, the patient is placed under general anesthesia. Then, the surgeon opens the blocked ends of the tubes and uses a stent to make sure the tube is open. The surgeon then uses microsurgical techniques to reconnect the severed ends of the fallopian tubes. In a small number of cases, if part of the fallopian tube is missing, the doctor will create an opening in the uterus and insert the remaining end of the fallopian tube.
• A few months after the procedure, the doctor will do another dye test to ensure the fallopian tubes are open.

• Before a tubal reversal, it is recommended that the patient's partner have a sperm count and motility test to make sure he is fertile. This typically costs $50 to $200.
• Pain medication might be needed during recovery.
• Because of a 10 to 15 percent risk of ectopic pregnancy[3] in women who have had tubal reversals, early pregnancy must be carefully monitored, either by the doctor who performed the reversal or your regular gynecologist. If an ectopic pregnancy does occur, it can be life threatening and typically requires immediate surgery.

• Some providers will offer discounts to self-paying patients who agree to prepay or pay within a certain time period. For example, the Chapel Hill Tubal Reversal Center[4] offers a $1,000 discount if the patient pays the full fee within 24 hours of scheduling surgery.

• Ask your regular gynecologist for a referral to a surgeon who specializes in tubal ligation reversals. Or, the American College of Obstetricians and Gynecologists[5] offers a doctor finder by state. When you find a surgeon, ask how many tubal ligation reversals the surgeon has performed, and request success rate data.
• Risks of tubal ligation reversal include bleeding or injury to organs, complications from anesthesia, the possibility of infection and a higher risk of ectopic pregnancy.

1.  www.danmartinmd.com/anastomosis_fees.htm
2.  www.tubal-reversal.net/tubal_reversal_fee_financing.htm
3.  www.nlm.nih.gov/medlineplus/ency/article/000895.htm
4.  www.tubal-reversal.net/tubal_reversal_surgery_costs.htm
5.  www.acog.org/About_ACOG/Find_an_Ob-Gyn

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