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Surgical Exploration Of The Epididymis

Washington, DC 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?

$417

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $417 to $2,754.

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.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $417 to $7,762Professionalmedian $417 · 10th to 90th $380 to $741
$500$1K$2K$5K$10K$20Kfacility $3,162professional $417

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
$416.87
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$416.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$2,818.38
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$1,000.00

Where Washington, DC 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.

Washington, DC· 48th of 51

$417

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.