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Bilateral Epididymectomy

Kentucky 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?

$4,570

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

Insurers have agreed to pay about $4,570 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $3,981 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$589$537 to $741
Facility feeThe hospital or surgery center$3,981$2,754 to $7,586

How much rates vary

Facilitymedian $3,981 · 10th to 90th $851 to $9,550Professionalmedian $589 · 10th to 90th $513 to $1,175
$50.0$200.0$1.0K$5.0Kfacility $3,981professional $589

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
$537.03
Median
$1,737.80
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$851.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$3,388.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,071.52

Where Kentucky 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 feeKentucky $4,570 · 31st 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.