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Bilateral Epididymectomy

Massachusetts 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?

$3,987

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

Insurers have agreed to pay about $3,987 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $3,311 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$676$589 to $1,202
Facility feeThe hospital or surgery center$3,311$1,950 to $4,677

How much rates vary

Facilitymedian $3,311 · 10th to 90th $575 to $5,888Professionalmedian $676 · 10th to 90th $537 to $1,738
$100.0$1.0K$10.0Kfacility $3,311professional $676

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
$1,949.84
Median
$3,388.44
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$1,737.80
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$5,370.32
Typical High
$33,884.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$851.14
Typical High
$1,548.82
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$660.69
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$851.14
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,621.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$5,370.32
Typical High
$33,884.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$2,137.96

Where Massachusetts 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 feeMassachusetts $3,987 · 34th 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.