Tubal reversal vs IVF: what each costs
After a tubal ligation there are two ways to another pregnancy: surgery to reconnect the tubes, or IVF, which goes around them. Here is what 14 practices in 10 states post for the surgery on their own pages, what an IVF cycle costs, and what the American Society for Reproductive Medicine says decides between them, in its own words.
A tubal reversal is one surgery, posted at $5,000 to $9,000; IVF is priced per cycle. ASRM's committee opinion says age is the deciding factor: under 37, a cited study found more deliveries after reversal at nearly half the cost of IVF, and only over 40 does a pregnancy cost more by reversal. IVF works faster and carries a lower ectopic pregnancy risk, and a reversal depends on how your tubes were tied.
What practices post for a tubal reversal
Each price is the practice's own sentence on its own page, read on the date at the top. Sorted by state, never by price. Most are fixed, all-inclusive prices for an outpatient surgery; what each covers is in its own words.
| Practice | Posted price | What the price covers, in its words |
|---|---|---|
Arkansas Fertility & Gynecology Little Rock, AR | $9,000 | “we offer outpatient tubal reversal for a fixed price of $9,000” Surgeon's fee, anesthesia fee and the surgery center fee. Outpatient; extra cost if an overnight stay is required; selected patients only. |
California Center for Reproductive Health Los Angeles, CA Its IVF prices and success rates | $6,800 | “California Center for Reproductive Health offers tubal reversal surgery for a fixed price of $6,800” Initial consultation, preoperative visit with pelvic ultrasound, semen analysis if needed, preoperative blood work, operating room and anesthesia fees, surgeon and assistant surgeon professional fees. Credits $3,000 toward a standard IVF cycle if there is no pregnancy within 12 months (its page). |
Tree of Life Center Westlake Village, CA Its IVF prices and success rates | $8,400 | “Tree of Life Center can perform microsurgical tubal reversal surgery for an affordable all-inclusive package price of $8,400.” Described as an all-inclusive package price; operates in Westlake Village, Calabasas or Beverly Hills. |
Assisted Fertility Program FL Its IVF prices and success rates | $8,500 | “Your total costs for tubal reversal is $8,500 which includes preop and postop care as well as surgeon , facility cost, and anesthesia.” Pre-op and post-op care, surgeon, facility cost, and anesthesia. Its Georgia patients' page; the practice's own price list page says $7,000 to $7,500 on average, with extra charges for higher weight and earlier abdominal or pelvic surgery. |
Fertility Center & Applied Genetics of Florida Sarasota, FL | $5,000 to $7,500 | “The total cost for the surgical procedure is $5,000 to $7,500.” Review of old operative notes and pathology results, pre-operative visit, surgery, outpatient recovery, post-operative visit. Higher end is for higher-risk patients (higher BMI, multiple prior abdominal surgeries). |
Tubal Reversal Experts Clearwater, FL | $6,500 to $7,500 | “Tubal reversal pricing ranges between $6,500 - $7,500” Surgeon's microsurgical fee, anesthesia fee, operating room fee, recovery room fee. Required extras: consultation ($400), pre-op labs. A $400 consultation and pre-op labs are extra. |
Lakeshore Tubal Reversal Center Gainesville, GA | from $7,900 | “The standard Tubal Reversal surgical fee for Dr. Greene and Dr. Turner starts at $7,900.” Doctor's fee, anesthesia fee, operating room fee, pre- and post-operative medications, pre-operative lab work, multi-layer closure of the tubes, dye testing of the tubes, hotel stay, post-operative care and follow up. Its fee starts at this amount; the page says some patients (scar tissue, for example) need more. |
Thibodaux Gynecology & Obstetrics Thibodaux, LA | $5,999 | “The entire procedure, including pre and post-operative visits, anesthesia, and surgical suite, costs only $5,999.” Pre and post-operative visits, anesthesia, and surgical suite. Outpatient, no overnight stay. Travel and lodging not included. |
Tubal Reversal Center (Dr. Monteith) Raleigh, NC | $7,500 to $7,900 | “The cost for tubal reversal is $7,900 (standard base surgical fee) and $7,500 cash discounted surgical fee.” The fee for surgery is all-inclusive and covers everything except the cost of your travel, meals, lodging, and prescription medications. $7,500 is its cash price and $7,900 its standard fee; its sister page puts a financed reversal at $8,100. |
Winston-Salem, NC | $11,000 to $12,000 (estimate) | “Estimated cost for this procedure is $11,000-$12,000.” Not stated. An estimate on the hospital page, not a fixed fee. |
CNY Fertility Syracuse, NY Its IVF prices and success rates | $6,500 | “At CNY Fertility, a tubal ligation reversal costs $6,500, which includes anesthesia, surgical services, and all facility fees for the day of surgery” Anesthesia, surgical services, and all facility fees for the day of surgery. |
John Macey, MD Nashville, TN | $7,000 | “My surgical fee for microscopic tubal reanastomosis combined with the anesthesia / Centennial Surgery Center fee currently TOTALS $7000.” Surgeon's fee for microscopic tubal reanastomosis combined with anesthesia and Centennial Surgery Center fee. Consultation $150 extra. Adds $500 above a BMI of 34, $1,000 above 39 and $1,500 above 44; consultation $150. |
NTTC Surgery Center Mesquite, TX | $7,176 | “NTTC Surgery Center provides Tubal Ligation Reversal at a flat-rate price of : $7,176” Surgeon consultation fee, anesthesia fee, facility fee. Fertility tests not included. Flat rate not available when paying with insurance. |
Ogden Clinic (robotic-assisted) Ogden, UT | $8,200 to $8,350 | “TOTAL COST: - $8,200 without block - $8,350 with block” Surgeon $2,000, hospital $5,000, anesthesia $1,200 (or $1,350 with TAP block). Payment-plan totals are higher ($8,700 / $8,850). |
Practices that post a reversal price and an IVF price
Fertility practices that do both, with each price as their own pages state it. Their IVF prices cover different things (some leave out medications or monitoring), so read the inclusions on the clinic's page before you compare.
| Practice | Tubal reversal | IVF, as it posts it |
|---|---|---|
| California Center for Reproductive Health, Reproductive Fertility Center Los Angeles, CA | $6,800 | $10,995 Access IVF |
| Tree of Life Center for Fertility Westlake Village, CA | $8,400 | from $13,500 |
| Assisted Fertility Program FL | $8,500 | $5,500 Self-Pay IVF |
| CNY Fertility Center Syracuse, NY | $6,500 | $4,999 IVF package |
What one IVF cycle costs
IVF is priced per cycle, and a clinic's headline price is usually the base fee alone.
Monitoring, egg retrieval, lab fertilization, and one fresh transfer: the clinic's headline quote.
The injectable hormones that grow multiple eggs, dosed to your body over the cycle.
From base, medications and anesthesia up to a cycle with every common add-on, from our cost calculator.
Each clinic's own posted IVF price is on its page; you can compare them by place on our IVF costs page.
Age, how your tubes were tied, and time
From the ASRM Practice Committee's opinion on tubal surgery in the era of IVF (2021) and a 2023 meta-analysis, each in its own words.
“There are no adequate trials comparing pregnancy rates of tubal surgery with IVF. However, IVF has a higher per-cycle pregnancy rate. Tubal anastomosis for the reversal of tubal sterilization has a significantly higher cumulative pregnancy rate than that of IVF.”
“Patient age is consistently the most significant prognostic factor in the chance for successful sterilization reversal. In a series of >6,500 women undergoing tubal anastomosis, women <30 years at the time of the reversal had a pregnancy rate of 88%, with pregnancy and live-birth rates significantly decreasing with increasing age (63).”
“For women <37 years of age, cumulative delivery rates were higher for women undergoing tubal anastomosis than those for women undergoing IVF (72% vs. 52%, respectively), with costs in the tubal reversal group that were nearly half as much as those in the IVF group (70). There was no significant difference in delivery rates in women aged >37 years.”
“Cost comparisons and decision-tree modeling has determined that the average cost per pregnancy is only higher for tubal anastomosis compared with IVF in women >40 years old (71).”
“Success after tubal reversal is not restricted to younger women; pooling pregnancy rates for all subjects <40 years, a retrospective single-center study reported cumulative intrauterine pregnancy rates of >90% within 2 years of microsurgical reversal of tubal sterilization (67). In women aged 40-45 years, a multicenter study with 78 women reported a 45% pregnancy rate; the reported miscarriage rate of 26% was likely related to the advanced age of the women in the study (68).”
“The reversal of sterilization procedures per- formed with rings or clips results in higher pregnancy rates than for sterilization performed via ligation/resection or coagulation (63).”
“The rate of ectopic pregnancy after tubal anastomosis was reported as 4%-8% vs. 1.4% for IVF (62, 69).”
“Most IVF pregnancies, even in cumulative studies, happen within 1 year. In contrast, many surgical studies have high cumulative numbers but the time to delivery is substantially longer.”
“Pregnancy rates from 14,113 patients were obtained from individual studies and combined, resulting in an overall pregnancy rate of 65.3 % (95 % CI: 61.0-69.6) following reversal of TL (Fig. 2).”
“The overall rate of ectopic pregnancies was 6.8 % (95 % CI: 3.4-10.1 %).”
“when comparing the results of tubal reversal with in vitro fertilization, reversal procedures appear more favorable for patients over 35 years old, while the results are similar for patients under 35 years old, but more data is needed to evaluate this finding.”
The two tests a fertility workup starts with
A first visit at a fertility clinic usually begins with a semen analysis and a test of her egg supply, most often AMH (ASRM). At-home kits, and for AMH a blood test you can order yourself and have drawn at a lab, give you a first read on both before you book, lowest price first, each with what it measures; the clinic will usually test again before planning treatment.
Her egg supply (AMH)
- Labcorp AMH blood test (Practitioner Depot)AMH (anti-Mullerian hormone) blood test ordered online and drawn at a Labcorp patient service center$49.49 one-timePractitioner DepotPartner
- FullWell Fertility Testat-home finger-prick hormone panel (AMH, FSH, estradiol, TSH, vitamin D) with lab report$86 one-time
- AMH blood test, female (Ulta Lab Tests)AMH (anti-Mullerian hormone) blood test ordered online and drawn at a lab patient service center; results in about 2 to 3 business days$89.95 one-timeUlta Lab TestsPartner
His sperm
- SpermCheck Fertilitysingle-use at-home sperm-concentration test$49 (1-pack)SpermCheckPartner
- myLAB Box At-Home Male Fertility Testat-home semen analysis read on a phone: sperm count and motility, with a recorded video of the sample10% off any product with code GO10$99 one-timemyLAB BoxPartner
- YO Home Sperm Testreusable smartphone-based device plus 3 single-use sperm tests: concentration and motility$99.95 one-timeYO Home Sperm TestPartner
Links marked Partner are referral links: if you buy through one, we may earn a commission at no extra cost to you. It never changes the price you pay or the data shown. How partners are handled
What the visit itself costs: the first-consultation fees clinics post.
Many clinics also set a BMI limit before IVF, for the sedation at egg retrieval: the limit each clinic states, and what losing weight first costs.
Timing each month, and the first test
After the surgery you try on your own, so the tests that cost money are the monthly ones. With the ectopic risk ASRM gives above, tell your doctor as soon as a pregnancy test is positive.
Ovulation tests, cheapest first
An ovulation test reads the LH surge a day or so before you ovulate, which tells you the days to try. Prices are each brand's own, read on its page.
- Premom / Easy@Home LH ovulation stripsLH ovulation test strips + the free Premom tracking appfrom $9.99 (25 strips)Premom (Easy@Home) on AmazonPartner
- Pregmate 50 ovulation test stripsLH ovulation test strips + the free Pregmate app$16.97 (50 strips)Pregmate on AmazonPartner
- MomMed 60 ovulation test stripsindividually wrapped LH ovulation test strips$17.90 (60 strips)MomMedPartner
- Proov Complete testing systemat-home ovulation and PdG confirmation kit$99.99 first cycleProov on AmazonPartner
- Oova Fertility Hormone Kitone cycle of urine test strips measuring LH, E3G and PdG, read by the free Oova phone app$159 one-time
- Mira Hormone Monitor: Ultra4 Kitreusable hormone monitor plus 20 Ultra4 test wands, each reading FSH, E3G (estrogen), LH and PdG (progesterone) from urine$249 (20 wands)MiraPartner20% off one-time purchases with code 2IVFCOST20
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As an Amazon Associate I earn from qualifying purchases.
Pregnancy tests, cheapest first
A home test reads hCG in urine after a missed period. Prices are each brand's own, read on its page.
- Easy@Home 20 pregnancy test stripshCG pregnancy test strips + the free Premom app$9.99 (20 strips)Premom (Easy@Home) on AmazonPartner
- Winx Health pregnancy tests (formerly Stix)two early-detection hCG pregnancy test strips$13 (2 tests)
Links marked Partner are referral links: if you buy through one, we may earn a commission at no extra cost to you. It never changes the price you pay or the data shown. How partners are handled
As an Amazon Associate I earn from qualifying purchases.
What practices say beside the price
Insurance, financing and extras, as the practices put them.
“Dr. Pabon will review your tubal ligation surgical notes at no charge”
geneticsandfertility.com“He also accepts CareCredit.”
thibodauxgynob.com“Optional screening laparoscopy is $2,500 (when combined with tubal ligation reversal)”
tubal-reversal.net“The procedure takes about an hour and a half and you will stay the night in the hotel (which is included in your surgical fee).”
pregnantagain.com“Insurance usually does not cover a tubal reversal.”
arkansasfertility.com
Common questions about tubal reversal and IVF
How much does a tubal reversal cost?
14 US practices post a price on their own pages. The fixed prices and ranges run from $5,000 to $9,000 for the surgery, usually with anesthesia and the surgery center included; one academic hospital gives an estimate of $11,000 to $12,000. Insurance usually does not pay for it, and at some practices a consultation, pre-op labs or a surcharge for a higher BMI is extra.
Is a tubal reversal cheaper than IVF?
One surgery usually costs less than one IVF cycle: $5,000 to $9,000 posted for a reversal, against a base IVF cycle of $9,000 to $14,000 before medications of $3,000 to $7,000. ASRM's committee opinion cites a study in which women under 37 had a higher cumulative delivery rate after reversal than after IVF (72% vs. 52%) at nearly half the cost, and says the average cost per pregnancy is only higher for reversal in women over 40.
What is the success rate of a tubal reversal by age?
ASRM calls age the most significant factor: in a series of more than 6,500 women, those under 30 at the reversal had a pregnancy rate of 88%, with rates falling as age rises. A 2023 meta-analysis of 14,113 patients found an overall pregnancy rate of 65.3% after reversal.
Does the way my tubes were tied matter?
Yes. ASRM says reversing a sterilization done with rings or clips results in higher pregnancy rates than one done by ligation and resection or by coagulation (burning). Your old operative report says which method was used; one practice in our list reviews it at no charge before advising a reversal or IVF.
What are the risks of a tubal reversal compared with IVF?
Ectopic pregnancy is the main one: ASRM reports 4% to 8% after tubal anastomosis against 1.4% for IVF, and the 2023 meta-analysis found 6.8% overall. IVF is also faster: ASRM notes most IVF pregnancies happen within a year, while the time to delivery after surgery is substantially longer.