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Bilateral Epididymectomy

Iowa rates for HCPCS 54861

Surgically removes both epididymides -- the coiled tubes attached to each testicle that store and carry sperm. It is most often done to treat chronic pain, infection, or a mass in that area on both sides.

Facilitymedian $4,786 · 10th–90th $933$8,3180%20%10th90th$4,786Professionalmedian $776 · 10th–90th $525$1,6600%20%10th90th$776$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$4,786.30
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,659.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,000.00
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,162.28
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$1,737.80
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$1,071.52
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,309.57
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,258.93