If post-vasectomy pain syndrome is a known complication of vasectomy, and reversal is a potentially effective treatment, why is reversal for pain not covered by insurance? How can you cover surgical sterilization, and then not cover needed treatment for a known adverse outcome? This adds the cost of the reversal to the overall suffering from the condition. Vasectomy reversal can cost from $4000 to $12,000. There are few urologists who are doing this procedure to attempt cure of PVPS. In fact, another layer of suffering can be added to the situation when you encounter physicians who tell you the symptoms are emotional, not physical.