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Surgical Exploration Of The Epididymis

Alaska rates for HCPCS 54865

A surgical look at the epididymis, the coiled tube behind the testicle where sperm mature, through a small cut in the scrotum. A tissue sample may be taken during the same operation if something abnormal is found.

Rates data updated July 2026.

How much does Surgical Exploration Of The Epididymis cost?

$1,288

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $871 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$813 to $1,995
FacilityA hospital or hospital-owned outpatient department$871$447 to $2,818

How much rates vary

Facilitymedian $871 · 10th to 90th $398 to $7,244Professionalmedian $1,288 · 10th to 90th $398 to $2,455
$100$200$500$1K$2K$5K$10Kfacility $871professional $1,288

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$5,888.44
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$954.99
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$2,818.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,511.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$2,818.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$977.24
Typical High
$2,454.71

Where Alaska sits

The same service costs 8.3 times more in Colorado than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 5th of 51

$1,288

CO $3,236DE $389

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.