Men getting vasectomies are generally healthy, so they typically are responsible for total cost of vasectomy out of pocket before insurance kicks in. Dr Tajkarimi can save you up to $5000 in insurance fees and deductibles! Some urologists prefer to perform vasectomy with IV sedation which is a completely acceptable alternative. You don't have to go to sleep or take Percocet and Valium before the procedure. It's all about finesse, advanced instruments & technique.