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Bilateral Epididymectomy

Maine 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?

$759

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $646 to $977.

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.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $7,244 to $7,244Professionalmedian $759 · 10th to 90th $562 to $1,096
$1K$2K$5Kfacility $7,244professional $759

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,288.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,288.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$1,445.44

Where Maine sits

The same service costs 11.0 times more in California 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.

Maine· 40th of 51

$759

CA $6,457WV $589

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.