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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 July 2026.

How much does Surgical Exploration Of The Epididymis cost?

$1,413

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $661 to $3,090.

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 $2,884 · 10th to 90th $871 to $2,884Professionalmedian $1,413 · 10th to 90th $363 to $3,981
$50$100$200$500$1K$2K$5Kfacility $2,884professional $1,413

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$537.03
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,621.81
Typical High
$3,981.07

Where Hawaii 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.

Hawaii· 4th of 51

$1,413

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.