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Bilateral Epididymectomy

West 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?

$1,164

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

Insurers have agreed to pay about $1,164 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $575 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$575 to $646
Facility feeThe hospital or surgery center$575$575 to $1,413

How much rates vary

Facilitymedian $575 · 10th to 90th $575 to $2,344Professionalmedian $589 · 10th to 90th $537 to $759
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $575professional $589

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
$575.44
Median
$575.44
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$724.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,000.00

Where West 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 feeWest Virginia $1,164 · 50th 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.