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Bilateral Epididymectomy

Illinois 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?

$3,897

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

Insurers have agreed to pay about $3,897 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $3,236 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$562 to $1,047
Facility feeThe hospital or surgery center$3,236$1,259 to $5,495

How much rates vary

Facilitymedian $3,236 · 10th to 90th $891 to $8,913Professionalmedian $661 · 10th to 90th $537 to $1,738
$50.0$200.0$1.0K$5.0K$20.0Kfacility $3,236professional $661

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
$758.58
Median
$2,454.71
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,128.61
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$2,511.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,258.93

Where Illinois sits

The same service costs 9.3 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIllinois $3,897 · 35th of 50
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.