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Bilateral Epididymectomy

Pennsylvania 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?

$5,933

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

Insurers have agreed to pay about $5,933 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $5,370 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$525 to $692
Facility feeThe hospital or surgery center$5,370$2,818 to $7,244

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,047 to $8,511Professionalmedian $562 · 10th to 90th $501 to $1,122
$200.0$1.0K$5.0K$20.0Kfacility $5,370professional $562

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
$1,047.13
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$1,000.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$660.69
Typical High
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$870.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,096.48
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$691.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,398.83
Typical High
$4,168.69
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,148.15

Where Pennsylvania 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 feePennsylvania $5,933 · 16th 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.