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Bilateral Epididymectomy

Virginia 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?

$5,026

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

Insurers have agreed to pay about $5,026 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $4,365 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$631 to $955
Facility feeThe hospital or surgery center$4,365$832 to $7,079

How much rates vary

Facilitymedian $4,365 · 10th to 90th $646 to $9,772Professionalmedian $661 · 10th to 90th $550 to $3,631
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,365professional $661

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
$645.65
Median
$5,370.32
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$1,584.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,318.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,202.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,148.15

Where Virginia 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 feeVirginia $5,026 · 24th 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.