Private HyCoSy tubal patency test cost in the UK: 2026 price guide

A private HyCoSy checks whether the fallopian tubes are open by passing contrast fluid through the womb while watching on ultrasound, and is a common first-line test of the tubes in fertility investigation.

The range in the published self-pay lists for HyCoSy tubal patency test was £150 to £500. That spread reflects different hospitals, different variants and different ideas of what belongs in a package, so the table names each one.

Lists are revised from time to time and sit alongside conditions in the small print. The figures help you see where a quote falls, but they cannot replace your own estimate.

A speculum is used to place a thin catheter into the womb, and fluid with tiny bubbles is passed through while an ultrasound probe shows whether it flows through the tubes.

Ask whether pain relief is advised and what the plan is if the result is unclear.

HyCoSy uses ultrasound and is well tolerated, hysterosalpingography uses X-ray with dye and gives a clear picture of the womb and tubes, and laparoscopy with dye allows direct view and treatment but is an operation. Clinics choose the test by availability and need.

A normal result is reassuring about tubal factors and some people conceive soon after the flush. Ask which test the clinic favours and why, and what follows if a tube appears blocked.

Two patients having the same operation or test can receive quite different bills. For HyCoSy tubal patency test, these are the factors that most often explain the gap.

• Test type: HyCoSy on ultrasound, hysterosalpingogram by X-ray or laparoscopy and dye test differ in cost.

• Clinic fees: Guy and St Thomas Specialist Care lists HyCoSy at £500 and a saline infusion sonohysterogram at £250.

• Operator expertise and equipment.

• Consultation and results appointment.

• Pain relief offered.

Ask for the inclusions in writing. For this procedure the usual split between what is covered and what is charged on top looks like this.

Insurers usually exclude fertility investigations, though a test requested for a clinical reason may be covered.

Check whether your insurer recognises the exact procedure and the consultant you plan to see, and ask for any excess in writing. Self-funders can usually ask about finance, but terms depend on credit checks and should be read closely.

NHS fertility pathways include tubal patency testing, with the method depending on local services.

Many people consider private care because of NHS waiting times, but the NHS route costs nothing at the point of use and the 18-week standard applies to non-urgent consultant-led pathways. Local performance varies.

You may have cramping and light bleeding for a day or two.

The risks below are the ones that can turn a quoted price into a larger bill, so ask how each would be dealt with.

• Pelvic infection is a rare risk, and the test is not done if you might be pregnant or have an infection, so screening beforehand matters.

• Cramping can be strong for a short time, and the test may not give a definite answer in every case.

Write the answers down as you go. These are the questions that tend to separate similar-looking quotes for this procedure.

• Is the quote for HyCoSy, X-ray or laparoscopy?

• Is the consultation included?

• What pain relief should I take?

• What happens if the result is abnormal?

• Is every fee in the quote guaranteed, or could consultant and anaesthetist charges differ from the estimate on the day?