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Bilateral Epididymectomy

New Jersey 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?

$7,875

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,875 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $7,244 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$550 to $1,000
Facility feeThe hospital or surgery center$7,244$5,888 to $10,233

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,802 to $11,749Professionalmedian $631 · 10th to 90th $501 to $5,888
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,244professional $631

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
$4,365.16
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,479.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$977.24
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$12,882.50
Typical High
$18,197.01
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$1,122.02

Where New Jersey 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 feeNew Jersey $7,875 · 10th 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.