go back

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.

Rates data updated July 2026.

How much does Bilateral Epididymectomy cost?

$6,181

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $6,181 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $5,248 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$575 to $1,514
Facility feeThe hospital or surgery center$5,248$4,169 to $7,079

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,122 to $9,333Professionalmedian $933 · 10th to 90th $525 to $3,467
$1K$2K$5K$10Kfacility $5,248professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$5,248.07
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$933.25
Typical High
$3,467.37
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
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
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
$812.83
Median
$1,047.13
Typical High
$1,230.27

Where Iowa sits

The same service costs 9.3 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Iowa· 14th of 50

$6,181

$933 physician + $5,248 facility

IN $10,879WV $1,164

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.