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Surgical Exploration Of The Epididymis

Colorado 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?

$3,236

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $5,495 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 7 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$437$417 to $550
FacilityA hospital or hospital-owned outpatient department$5,495$3,311 to $7,762

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,202 to $9,333Professionalmedian $437 · 10th to 90th $398 to $955
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $5,495professional $437

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
$1,202.26
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$724.44
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$630.96
Typical High
$707.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$891.25

Where Colorado sits

The same service costs 8.3 times more in Colorado than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $3,236 · 1st of 51
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.