The IVF after tubal ligation cost in the US starts at about $7,994 for one cycle at the clinics that publish a self-pay price, and university clinics quote $12,450 to $18,000 or more before medicines. The other route is surgery to reverse the ligation: the two clinics we found that publish a reversal price charge $6,500 and $7,500. Which is cheaper depends mostly on your age, how the tubes were tied and whether you want more than one child. Below are the published prices, what each includes, and what the American Society for Reproductive Medicine says about choosing between them.
Short answer
If your tubes are tied, IVF skips the fallopian tubes entirely, so the ligation does not change what IVF costs: about $7,994 to $12,888 a cycle at CNY Fertility and $12,450 to $18,000 at Duke before medicines (prices read 26 October 2026). A tubal reversal costs $6,500 at CNY Fertility and $7,500 cash at A Personal Choice in Raleigh (read 8 November 2026), and then you try to conceive naturally. The American Society for Reproductive Medicine says the choice should be individual; in the studies it cites, reversal cost less per pregnancy except for women over 40.
- IVF, one cycle
- $7,994 to $12,888 (CNY Fertility) to $14,000 to $20,000 (UCSF, before medicines)
- Tubal reversal
- $6,500 (CNY Fertility); $7,500 cash or $7,900 by card (A Personal Choice)
- Ectopic pregnancy risk
- 4% to 8% after reversal vs 1.4% with IVF (ASRM)
- When IVF tends to win on cost
- Over 40, or if the remaining tubes are short or the sperm count is low (ASRM)
- Insurance
- Often not covered for either; ACOG says both are expensive and may not be covered
IVF after tubal ligation cost: what one cycle costs
A tubal ligation blocks or removes part of the fallopian tubes, where an egg would normally meet sperm. IVF goes around them: the clinic collects eggs from the ovaries, fertilises them in the lab and places an embryo in the uterus. So for most people the tied tubes do not change the IVF price. One exception the American Society for Reproductive Medicine discusses is a hydrosalpinx, a blocked tube swollen with fluid: for a poor-prognosis hydrosalpinx it advises removing the tube before IVF (ASRM). These are the US clinics in our ledger that publish a self-pay IVF price:
Clinic prices read 26 October 2026. Ranges are the clinic's own. Medicines, genetic testing and frozen transfers are often extra: see IVF medication cost.
Many people need more than one cycle, or one retrieval and several frozen transfers, so ask each clinic what its price covers if the first transfer does not work. ASRM lists how many children you want as one of the factors: after a reversal you can try again for a later pregnancy without paying again, while with IVF a second child may need another cycle unless embryos were frozen.
Tubal reversal cost
A tubal reversal, or tubal anastomosis, rejoins the remaining sections of each tube so you can try to conceive without help. Few US surgeons publish a price. The two we found:
- CNY Fertility, Syracuse, New York: $6,500, covering the surgery, anesthesia, facility fees on the day and pre- and post-operative appointments. If you do not conceive, CNY offers its reversal patients a discounted IVF cycle of $3,500 (CNY Fertility).
- A Personal Choice, Raleigh, North Carolina: $7,500 cash or $7,900 by card, including HSA and FSA cards; it says the fee covers everything except travel, meals, lodging and prescription medicines. An optional screening laparoscopy adds $2,500, and fimbriectomy reversals are priced separately (A Personal Choice).
Add travel, time off work (CNY recommends at least a week) and, if you do not conceive, IVF anyway. A reversal is paid once and then lets you try every month; IVF is paid per cycle.
IVF or reversal: what ASRM says
The American Society for Reproductive Medicine's practice committee says the choice between tubal anastomosis and IVF should be individualised, weighing age, the partner's semen quality, the sterilization method used, expense, the chance of success and how many children you want (ASRM committee opinion, 2021). From the studies it summarises:
- Age matters most. Pooled pregnancy rates after reversal were 65% to 68%; in a series of more than 6,500 women, those under 30 had a pregnancy rate of 88%, falling with age.
- Under 37, reversal did better. Cumulative delivery rates were 72% after reversal vs 52% after IVF, at costs nearly half as much. Over 37 there was no significant difference, and reversal cost more per pregnancy only for women over 40.
- The method of ligation counts. Reversals of ring or clip sterilizations had higher pregnancy rates than those of cut or burned tubes, and surgeons may advise against reversal if the remaining tubes would be shorter than 4 cm.
- Ectopic pregnancy. The rate was 4% to 8% after reversal vs 1.4% with IVF, so an early scan is needed after a positive test.
- Sperm. A significant male-factor problem points towards IVF.
ACOG adds that sterilization is meant to be permanent, that both reversal and assisted reproduction are expensive and may not be covered by insurance, and that neither guarantees a pregnancy (ACOG).
IVF abroad after tubal ligation
Because a tied tube does not change IVF itself, clinics abroad price it the same as any cycle. Our IVF abroad page lists clinics that publish a price, and IVF cost in the US puts US prices beside them with a rough travel estimate. Ask any clinic for its success rates for your age, and check how you would be monitored at home during stimulation.