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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 July 2026.

How much does Bilateral Epididymectomy cost?

$7,731

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

Insurers have agreed to pay about $7,731 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $6,918 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$813$525 to $955
Facility feeThe hospital or surgery center$6,918$2,042 to $9,120

How much rates vary

Facilitymedian $6,918 · 10th to 90th $813 to $12,589Professionalmedian $813 · 10th to 90th $525 to $3,090
$50.0$200.0$1.0K$5.0Kfacility $6,918professional $813

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
$812.83
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$891.25
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$8,317.64
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$812.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,288.25

Where New Mexico 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 Mexico $7,731 · 11th 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.