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Surgical Exploration Of The Epididymis

Iowa 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?

$891

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $3,802 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$603$457 to $1,047
FacilityA hospital or hospital-owned outpatient department$3,802$2,239 to $6,761

How much rates vary

Facilitymedian $3,802 · 10th to 90th $676 to $8,318Professionalmedian $603 · 10th to 90th $331 to $2,239
$500$1K$2K$5K$10Kfacility $3,802professional $603

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
$602.56
Median
$3,801.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$588.84
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,047.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$630.96
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,162.28
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$724.44
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$794.33

Where Iowa 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.

Iowa· 11th of 51

$891

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.