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Surgical Exploration Of The Epididymis

Hawaii 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?

$457

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $955 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$324 to $479
FacilityA hospital or hospital-owned outpatient department$955$813 to $2,570

How much rates vary

Facilitymedian $955 · 10th to 90th $724 to $2,884Professionalmedian $457 · 10th to 90th $30 to $2,455
$50$100$200$500$1K$2K$5Kfacility $955professional $457

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
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$363.08
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$407.38
Typical High
$512.86
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$537.03
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$436.52
Typical High
$3,981.07

Where Hawaii 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.

Hawaii· 40th of 51

$457

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.