Last updated: March 2026
How Much Does Tubal Ligation Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Laparoscopic Tubal Ligation | $2,000 – $6,000 | $0 – $500 |
| Postpartum Tubal Ligation | $1,500 – $4,000 | $0 – $300 |
| Bilateral Salpingectomy | $3,000 – $8,000 | $0 – $800 |
CPT/ADA Code: 58670
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Preventive care — covered at no cost under ACA for women; prior authorization may apply
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Tubal ligation costs $1,500 to $6,000 without insurance. Under the ACA, it is covered at no cost as preventive care for women.
Yes, the ACA requires insurance plans to cover female sterilization procedures, including tubal ligation, at no out-of-pocket cost.
Tubal ligation reversal is possible but costs $5,000-$20,000, is not covered by insurance, and success varies by method used.