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Surgical Exploration Of The Epididymis

Florida 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?

$513

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $6,026 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$372$316 to $447
FacilityA hospital or hospital-owned outpatient department$6,026$1,698 to $10,471

How much rates vary

Facilitymedian $6,026 · 10th to 90th $708 to $14,125Professionalmedian $372 · 10th to 90th $302 to $661
$50$200$1K$5K$20Kfacility $6,026professional $372

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
$645.65
Median
$3,388.44
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$660.69
AvMed
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,630.78
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,659.59
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$724.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$257.04
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$363.08

Where Florida 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.

Florida· 39th of 51

$513

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.