Tubal Reversal vs IVF: What Each Really Costs, and Your Options After a Tubal Ligation
Morgan Fertility & Reproductive Medicine, Englewood and Lakewood, NJ
Phone hours: Mon–Thu 8 AM–7 PM, Fri 8 AM–3 PM, Sat–Sun 11 AM–3 PM ET.
How much does tubal reversal really cost?
Reversal range from published cost guides, $5,000 to $21,000 overall, usually out of pocket (Oct 14, 2026). IVF prices from morganfertility.com/pricing (Oct 27, 2026). Monitoring, medications and pre-testing are billed separately; your consultation gives you your exact total.
View the numbers
| Item | Figure |
|---|---|
| Tubal reversal: surgery, facility, anesthesia | $8,000 to $13,000 |
| Tubal reversal: if it does not work, IVF anyway | $18,300 package |
| Tubal reversal: pre-surgery tests, recovery and time off | Not priced here |
| IVF at Morgan: Complete IVF Package | $18,300 |
| IVF at Morgan: medications (estimate) | $3,000 to $6,000 |
Reversal is abdominal surgery, then months of trying naturally. If it does not work, you may still need IVF.
What are the success rates?
- IVF: live birth per intended egg retrieval (SART 2023)
- Tubal reversal: pregnancy (ASRM 2021)
Published series, not a prediction for you. Reversal figures come from experienced surgeons' series and vary. See Morgan's own results.
View the numbers
| Series | Age | Rate |
|---|---|---|
| Tubal reversal: pregnancy (ASRM 2021) | Under 30 | about 88% |
| Tubal reversal: pregnancy (ASRM 2021) | 40 to 45 | about 45% |
| IVF: live birth per intended egg retrieval (SART 2023) | Under 35 | 53.2% |
| IVF: live birth per intended egg retrieval (SART 2023) | 35 to 37 | 39.9% |
| IVF: live birth per intended egg retrieval (SART 2023) | 38 to 40 | 26.2% |
| IVF: live birth per intended egg retrieval (SART 2023) | 41 to 42 | 13.2% |
| IVF: live birth per intended egg retrieval (SART 2023) | Over 42 | 4.1% |
The two series measure different things. SART source: Final National Summary Report 2023.
What are the risks?
4–8%
ectopic pregnancies after tubal reversal (ASRM)
1.4%
ectopic pregnancies after IVF (ASRM)
Share of pregnancies that were ectopic.
Tubal reversal vs IVF: how the journey compares
Tubal reversal
- Surgery
- Recovery
- Months of trying
- Maybe IVF anyway
IVF at Morgan
One defined cycle
- Medications
- Egg retrieval
- Embryo transfer
Is IVF better than tubal reversal?
Dr. Morgan stands behind our position: IVF costs about the same once you count the whole journey, with a higher chance of conceiving. Reversal can work well for some younger women with clips or rings and no other fertility factors. IVF tends to fit better when:
Tubes cut or burned, or too short.
ASRM notes lower results than after rings or clips, and advises deferring reversal under 4 cm of remaining tube.
Sperm factor.
Reversal repairs the tubes only. IVF with ICSI can work with low counts or poor motility.
Age 40 or older.
ASRM reports about 45% pregnancy at 40 to 45, with about 26% miscarriage.
You want embryo testing.
PGT-A is in Morgan's Complete IVF Package. Reversal has no equivalent.
You want one plan.
One timeline, not surgery first and IVF after.
Which path fits you?
Four quick questions. General information, not medical advice.
Question 1 of 4
Frequently asked questions
Does Morgan Fertility offer tubal reversal?
No. We offer IVF, which does not rely on the fallopian tubes. If another route fits you better, we will say so.
Is IVF better than tubal reversal?
Our position: IVF costs about the same as a tubal reversal and gives a higher chance of conceiving. It depends on your age, how your tubes were tied and your partner's fertility.
How much does tubal reversal cost?
Published cost guides report roughly $5,000 to $21,000, with most patients paying about $8,000 to $13,000, usually out of pocket. IVF may still be needed if it does not work.
How much does IVF cost at Morgan Fertility?
The Complete IVF Package is $18,300 (IVF cycle, frozen embryo transfer and PGT-A testing). Monitoring, medications and pre-testing are separate. Payment plans are available.
Can I have IVF if my tubes are tied?
Yes. IVF does not use the fallopian tubes, so tied tubes do not prevent it. It is how you can get pregnant after tubal ligation without reversal surgery.
What are the success rates of tubal reversal?
They depend heavily on age: ASRM cites about 88% pregnancy under 30 and about 45% at 40 to 45. Tube length and how the tubes were tied also matter.
What is the ectopic pregnancy risk after tubal reversal?
ASRM reports 4% to 8% of pregnancies after tubal reanastomosis, compared with 1.4% after IVF.
Talk to us about your options
We will review your age, how your tubes were tied and your partner's fertility, and give you an honest recommendation with the full cost of each path. Our insurance specialists verify your fertility benefits for free before your first appointment.
Englewood: 106 Grand Ave, Englewood, NJ 07631 (Bergen County). Lakewood: 475 Route 70 West, Lakewood, NJ 08701 (Ocean County). Visits by appointment only.
Also see IVF at Morgan, pricing and financing, egg donation, and surrogacy.
Phone hours: Mon–Thu 8 AM–7 PM, Fri 8 AM–3 PM, Sat–Sun 11 AM–3 PM ET.
General education, not medical advice. Results vary by patient.
Sources
Sources
- ASRM Practice Committee. Role of tubal surgery in the era of assisted reproductive technology. Fertil Steril 2021;115:1143-50 (read Oct 14, 2026). Reversal pregnancy, ectopic, tube-length and sterilization-method figures. asrm.org
- SART. Final National Summary Report for 2023, live births per intended egg retrieval (all embryo transfers) (read Oct 17, 2026). sartcorsonline.com
- Morgan Fertility pricing page (checked Oct 27, 2026): morganfertility.com/pricing
- Reversal cost range: published cost guides (costhelper.com, tubal-reversal.net; Oct 14, 2026). Not clinical sources.