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Bilateral Epididymectomy

Michigan 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?

$5,543

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

Insurers have agreed to pay about $5,543 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $4,898 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$646$550 to $724
Facility feeThe hospital or surgery center$4,898$3,631 to $5,754

How much rates vary

Facilitymedian $4,898 · 10th to 90th $724 to $6,918Professionalmedian $646 · 10th to 90th $501 to $813
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,898professional $646

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
$724.44
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$1,819.70
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,698.24
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$891.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,011.87
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$954.99

Where Michigan 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 feeMichigan $5,543 · 21st 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.