A vasectomy costs an average of $1,730 before insurance and about $345 with insurance, varying by location, provider, and procedure type. Insurance coverage depends on state laws and plan details; some states require coverage, while Medicare typically does not cover vasectomies. Medicaid covers vasectomies in most states. Vasectomy reversals cost $5,000 to $15,000 and are rarely covered by insurance. Payment plans and tax-advantaged accounts can help manage costs.