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Surgical Exploration Of The Epididymis

Alabama 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?

$575

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $2,818 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 4 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$575$372 to $575
FacilityA hospital or hospital-owned outpatient department$2,818$1,148 to $3,548

How much rates vary

Facilitymedian $2,818 · 10th to 90th $692 to $4,169Professionalmedian $575 · 10th to 90th $347 to $661
$500$1K$2K$5Kfacility $2,818professional $575

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,388.44
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$588.84

Where Alabama 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.

Alabama· 30th of 51

$575

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.