A vasectomy is a simple sterilization procedure that can be performed right your doctor's office, so it tends to cost less than other surgeries. Over the long term, a vasectomy may even be less expensive than other birth-control options such as the Pill or IUDs. [ Click here to see our cost-comparison chart ].Without insurance, the cost of a vasectomy typically ranges anywhere from $350 to $4,000, depending on location, surgical technique used, and other variables such as your method of payment and whether a doctor uses income-based sliding scales. Co-payment-a flat fee paid at each doctor's visit (such as $25). 2  Deductible-a fixed amount that you have to pay before your health insurance policy covers the costs of a visit or procedure. 3  Coinsurance-the percentage of the doctor's costs that you are required to pay (such as 20 percent).