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Bilateral Epididymectomy

Utah 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?

$6,129

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

Insurers have agreed to pay about $6,129 for this procedure. That total is two separate charges: $759 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$589 to $1,148
Facility feeThe hospital or surgery center$5,370$3,388 to $7,943

How much rates vary

Facilitymedian $5,370 · 10th to 90th $759 to $9,120Professionalmedian $759 · 10th to 90th $537 to $1,514
$50.0$200.0$1.0K$5.0Kfacility $5,370professional $759

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
$758.58
Median
$4,570.88
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,380.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,760.83
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$933.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$933.25
Typical High
$1,096.48
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$891.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,174.90

Where Utah 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 feeUtah $6,129 · 15th 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.