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Bilateral Epididymectomy

North Carolina 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?

$2,656

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,656 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $1,862 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$794$589 to $1,122
Facility feeThe hospital or surgery center$1,862$871 to $8,318

How much rates vary

Facilitymedian $1,862 · 10th to 90th $550 to $10,471Professionalmedian $794 · 10th to 90th $550 to $1,660
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $1,862professional $794

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
$549.54
Median
$2,137.96
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,202.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,318.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32

Where North Carolina 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 feeNorth Carolina $2,656 · 42nd 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.