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Surgical Exploration Of The Epididymis

Connecticut 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?

$794

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $4,786 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$550$427 to $794
FacilityA hospital or hospital-owned outpatient department$4,786$3,802 to $7,079

How much rates vary

Facilitymedian $4,786 · 10th to 90th $3,388 to $9,120Professionalmedian $550 · 10th to 90th $339 to $955
$500$1K$2K$5K$10Kfacility $4,786professional $550

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
$3,311.31
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$741.31
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,000.00
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$933.25

Where Connecticut 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.

Connecticut· 15th of 51

$794

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.