go back

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 October 2026.

How much does Surgical Exploration Of The Epididymis cost?

$417

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

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $380 to $1,259.

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 $2,818 · 10th to 90th $1,288 to $19,953Professionalmedian $417 · 10th to 90th $339 to $1,318
$500$1K$2K$5K$10K$20Kfacility $2,818professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$1,862.09
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$416.87
Typical High
$416.87
CareFirst
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$398.11
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$457.09
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$371.54
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,754.40
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$478.63
Typical High
$1,096.48

Where Washington, DC sits

The same service costs 6.2 times more in Alaska than in Utah. 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· 46th of 51

$417

AK $1,905UT $309

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.