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Washington rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Facilitymedian $6,026 · 10th–90th $550–$14,4540%5%10%10th90th$6,026$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $8,317.64 / $17,782.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,370.32 / $10,964.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,309.57 / $8,128.31 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $2,290.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $776.25 / $6,025.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $14,454.40
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $616.60 / $645.65
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,623.41 / $10,964.78
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,888.44 / $8,511.38 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $6,606.93 / $12,022.64