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Cost of Essure Reversal Surgery at
A Personal Choice

Essure reversal surgery at our center takes approximately 90 minutes and no overnight hospital stay is required. We were the first to publish successful reports of Essure pregnancy within the medical literature and we have continued to improve our techniques. Since our first medical reports on Essure reversal we have developed surgical techniques, which allow us to remove the coils intact and allow our patients to recover quicker and with less discomfort.

The chance of pregnancy after Essure reversal is 35% to 40% and most patients will report pregnancy within 12 months.

Essure reversal offers an alternative to IVF

Essure reversal allows you the chance to become pregnant naturally. After reversing Essure you will have a chance to become pregnant every month and you can become pregnant more than once. Essure reversal provides women with an alternative to in-vitro fertilization.

  • Essure reversal surgery fee $7,500
  • Average Essure reversal pregnancy rate 35% to 40%

***Starting April 1st 2019 the cash discounted fee for Essure reversal or Essure removal surgery will increase to $7,900***

To obtain the cash discounted fee you must pay the entire surgery fee by bank wire, cashiers check, cash, or credit card.

*** If you are financing Essure reversal/Essure removal, starting April 1st 2019 the fee for tubal reversal surgery will increase to $8,500. ***

If you finance any portion of the entire fee you will have to pay the higher financing fee.

In comparison, the cost of a single cycle of in-vitro fertilization (IVF) is $14,000 and the average IVF success rate is 36% for each cycle attempted.

Our Essure surgery fee

The fee for surgery is all-inclusive and covers everything except the cost of your travel, meals, lodging, and prescription medications. Surgical fees are due in full within 24 hours of scheduling your surgery.

Will health insurance pay for Essure reversal or Essure removal surgery?

Dr. Monteith is a participating provider with Blue Cross Blue Shield, Aetna, and Cigna.

Some of these health insurance plans may provide partial reimbursement when you have Essure reversal or Essure removal surgery with Dr. Monteith.

More information: Will insurance pay for Essure reversal or removal with Dr Monteith?

Essure Reversal vs Essure Removal

Essure sterilization reversal involves both Essure coil removal and re-introducing each fallopian tube into the uterine cavity (tubouterine implantation) and this is our recommend procedure for patients who would like to become pregnant again. Our Essure reversal procedure is recommended for women who would like the chance to become naturally pregnant.

Essure coil removal only involves removing the Essure coils from each fallopian tube and leaving the tubes closed so pregnancy will not ocur. Our Essure removal procedure is recommended for women who are having symptoms from the Essure devices but who do not want to become pregnant.

We have developed a surgical technique which minimizes the risk of Essure coil fracture during removal. Our surgical technique for Essure removal is detailed and involved and is very similar to our technique for Essure reversal. We do not simply pull on the coils to remove them. Instead we remove the Essure micro-inserts intact and with the surrounding scar tissue. The cost for Essure removal only is the same as the cost for Essure reversal.

To better understand our technique for removing Essure and minimizing the risk of fracture visit: More information for physicians

Our Essure surgery fees are
all-inclusive and cover:

  • Preoperative record review and consultation
  • Surgeon’s fee
  • Anesthesia fees
  • Surgical supplies
  • Operating facility fees
  • Post-operative visit and follow-up care

The surgical fee payment can be made by bank-to-bank wire transfer, Visa, MasterCard, Discover card, cash, or sending a cashier’s check or money order by over-night delivery. Payments by credit card will be subject to an additional processing fee.

Screening laparoscopy
Unique to our practice

We are the only center offering patients an insurance policy during tubal ligation reversal surgery: Screening laparoscopy.

We never require a screening laparoscopy. This procedure is always optional. You should think of the optional screening laparoscopy as you would an insurance policy.

If Essure reversal or Essure removal is not possible then patients who choose the screening laparoscopy option will receive a refund of their surgical fee!

Screening laparoscopy is not typically required for Essure reversal or Essure removal. If you have a history of c-sections or uterine fibroid surgery you should consider adding the optional screening laparoscopy to your surgery.

C-sections and fibroid removal surgery can cause significant uterine scar tissue and can increase the difficulty of Essure reversal and Essure removal.

More information: How do c-sections cause severe scar tissue?

Patients who choose to have a screening laparoscopy at the time of tubal reversal surgery will pay (Essure reversal/removal fee + screening laparoscopy fee). If during the laparoscopy, Dr. Monteith does not think Essure reversal or Essure removal can be completed then patients who have the screening laparoscopy will be refunded Essure reversal/removal portion of the surgery fee.

For more information: Advantages of screening laparoscopy during tubal reversal.

Scheduling fee

When you are ready to schedule your reversal surgery, payment of a $125 scheduling fee is required to be added to the surgery schedule.

***Starting April 1st 2019 the scheduling fee will increase to $150***

The $125 scheduling fee covers the cost involved in planning and scheduling your surgery: 20 minute medical history phone interview, registration paper work, surgical date selection, ordering pre-operative lab work, and providing advice for travel and hotel reservations.

The scheduling fee can be conveniently paid with a credit card.

For a detailed description of how to schedule surgery:
Step-by-step guide to scheduling tubal reversal

Essure reversal prepayment account option

For patients interested in a long-term payment arrangement, our office offers a prepayment account option. This can be a great way to pay for Essure reversal surgery.

For more information: Prepayment plan for tubal reversal surgery

Essure reversal surgery financing

For patients interested in financing Essure reversal surgery or financing Essure removal surgery, our office participates in surgery financing with reputable, independent financing companies.

More information on Essure reversal or Essure removal surgery financing:
Essure reversal financing

Health insurance and Essure reversal

Most health insurances will not pay for elective surgery. Essure reversal surgery is considered an elective procedure – even if you are having abnormal symptoms after your Essure procedure.

If you are having symptoms from your Essure health insurance will only pay for a hysterectomy or complete removal of the fallopian tubes.

Surgery cancellation and rescheduling

Cancellation of surgery within 15 to 21 days of the surgery date will result in a 50% cancellation fee. Cancellation of a procedure within 14 days of the date of surgery, regardless of the reason, will result in forfeiture of 100% of the surgical fee.

Patients may reschedule their surgery date one time, outside of 3 weeks of the initial surgery date, at no charge. Additional date changes will require a rescheduling fee of $1500.

Rescheduling surgery within 15 to 21 days of the date of surgery, regardless of the reason, will result in forfeiture of 50% of the surgical fee. Rescheduling surgery within 14 days of the date of surgery, regardless of the reason, will result in forfeiture of 100% of the surgical fee.

Refunds on cancellations may take up to 30 days to process.

319 thoughts on “Essure Reversal Cost”

  1. Ranisha says:

    I am looking into getting essure reversal. Me and my husband want to have a baby. My essure was placed in September 2016. Is there a certain time allowed to go by before chances of reversal start to decrease?

    1. Dr. Monteith says:

      The length of time the Essure devices are left in place is not that important…what is more important is the increase in your age. I would not wait too long before having Essure reversal because the chances of pregnancy decrease as you become older. After age 42 the ability to become pregnant decreases more noticeably.

      We specialize in Essure reversal and Essure removal surgery. We can reverse Essure and give you the chance of pregnancy….or we can remove Essure and leave your tubes closed. The chance of pregnancy after Essure reversal is about 40%.

      More information: Essure reversal testimonials

      The cost for the Essure reversal procedure and the Essure removal procedure is the same… $7,500. We are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for Essure reversal surgery will increase to $7,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      No other clinic or doctor has the experience we do. The chance of pregnancy after Essure reversal is about 40%. If you are having symptoms that started soon after Essure most patients report improvement after removal of the devices. We do have a surgery prepayment plan.

      More information: Successful Essure reversal with Dr Monteith

      We charge a total of $7,500 for Essure reversal/removal plus $125 to schedule surgery. If you use our prepayment plan then you can contribute any amount as you are able but you must have the surgery paid for by three years. We do work with two financing companies and we do have a prepayment plan.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  2. Brittany says:

    I got Essure in 2015 and I’m wanting to have another child. Should I get it reversed or can I do IVF cause my husbands insurance pays up to $20,000 for IVF?

    1. Dr. Monteith says:

      My recommendation is to have IVF…. if your husbands insurance will pay for IVF. If IVF does not work then you can consider Essure reversal. IVF averages $14,000 for each treatment cycle….sometimes insurance will not pay for IVF if you elected to have tubal ligation or Essure sterilization.

      If you have Essure reversal you will have to pay out of pocket,

  3. Anonymous says:

    I am looking into having a Essure reversal to try to have kids again, but I have also had an ablation done after essures were placed, is this something that will interfere with being able to become pregnant again?

    1. Dr. Monteith says:

      In general it is recommended that you do not become pregnant after having an ablation procedure.

      Tubal reversal and pregnancy are possible if you are having regular periods of at least 3 days duration after your ablation. All pregnancies after ablation are considered high risk. Most IVF doctors will recommend using a gestational surrogate. IVF costs average $14,000 and you will have to pay the surrogate even more.

      If you are not having periods then we would not consider you a candidate for reversal. There is no medical treatment to make your periods return.

      Ablation will decrease the chance of pregnancy because it permanently damages the lining and muscle of the uterus.

      If your periods are light then you do have some functioning endometriumm but we are not always certain if it is enough to allow for pregnancy. There is no accurate way to be certain.

      We cannot provide an accurate percentage about the success of women getting pregnant after reversal with a prior ablation because there are no large scale studies looking at this. We have had women become pregnant naturally after tubal reversal with a prior ablation but don’t have a large enough group of these patients to provide meaningful statistics.

      You can see our patients who have had pregnancy success after endometrial ablation here: Ablation pregnancies

      Studies looking at women who have become pregnant after ablation show that about 50% will miscarry and about 50% will have live born babies.

      You should read these six articles I wrote about ablation, reversal, and the risks of pregnancy: Tubal Reversal and Ablation

      The ablation will decrease the chances of pregnancy but if you are having regular monthly periods of at least three days duration then pregnancy is certainly possible. If you are not having regular periods then I would advise against a reversal because pregnancy is not likely.

      In general pregnancy is not recommended after ablation because each pregnancy is at higher risk; miscarriage, growth restriction, early delivery, c-section and adherent placenta. The literature suggests pregnancies are at higher risk but many will do well.

      It is possible to become pregnant after having an endometrial ablation and then a tubal reversal and have a healthy pregnancy if you are having regular periods of at least three days duration every month. Please call us at (919)977-5050 if you have any additional questions about tubal reversal.

      To be considered a candidate by our office you need to be having regular periods (every month) and these periods need to last for at least three days.

      All patients with ablations need a consult with me (Dr Monteith) either by phone or in person before they can schedule reversal surgery.

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