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Surgical Exploration Of The Epididymis

Delaware 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?

$389

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $372 to $490.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $372 to $7,244Professionalmedian $389 · 10th to 90th $324 to $955
$500$1K$2K$5Kfacility $3,236professional $389

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. 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
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$645.65

Where Delaware 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.

Delaware· 51st of 51

$389

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.