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Surgical Exploration Of The Epididymis

Arizona 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?

$676

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $3,020 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 5 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$407$372 to $490
FacilityA hospital or hospital-owned outpatient department$3,020$1,950 to $4,677

How much rates vary

Facilitymedian $3,020 · 10th to 90th $977 to $5,623Professionalmedian $407 · 10th to 90th $339 to $1,288
$500$1K$2K$5Kfacility $3,020professional $407

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
$1,445.44
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,778.28
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$676.08

Where Arizona 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.

Arizona· 19th of 51

$676

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.