My husband also had TESA two different times due to 18 year old vasectomy. It wasn't too painful per my dh. The first local shot hurt but he went against md advice and even ran 5 miles once we got home. The TESA cost us $1200 but had to pay $300 extra because we had to use his lab and he couldn't make it to our IVF clinic so that lab could do analysis. As for the IVF, everything total costs close to $15,000 (IVF, Meds with partial insurance, TESA, and the extra FET option insurance offered at our clinic). My insurance didn't cover any of it however, when I filled my medications they paid a substantial amount. Out of $3,400 I paid $1,200.
Good luck! Just be sure to ask plenty of questions and its great you have already found a message board like this to help you. I am trying again in August with my one an only frozen embryo and thank goodness the ARC insurance plan will pay for this one.
DH-49, 23 DS and vasectomy
IVF - 3/10 BFN, 11 retrieved, TESA, 8 mature, 7 fertilized via ICSI, 2 transferred 3 days, unable to freeze other 5
IVF #2 6/10 retrieved 8 cell, 7 c, 4 c and 2 fragmented (one frozen) tx 3,BFN, FET in Aug 1 frostie