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Bilateral Epididymectomy

New Mexico 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 October 2026.

How much does Bilateral Epididymectomy cost?

$3,549

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $3,549 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $2,754 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$631 to $955
Facility feeThe hospital or surgery center$2,754$1,820 to $7,762

How much rates vary

Facilitymedian $2,754 · 10th to 90th $871 to $11,220Professionalmedian $794 · 10th to 90th $457 to $1,047
$50$200$1K$5Kfacility $2,754professional $794

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$954.99
Typical High
$954.99
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$8,511.38
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,995.26
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$758.58
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$165.96
Typical High
$812.83
Providence
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$1,995.26
Typical High
$3,467.37
Providence
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$831.76
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$812.83
Typical High
$1,288.25

Where New Mexico sits

The same service costs 4.1 times more in Wisconsin than in Montana. 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.

Physician feeFacility fee

New Mexico· 18th of 51

$3,549

$794 physician + $2,754 facility

WI $7,274MT $1,783

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.