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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 October 2026.

How much does Surgical Exploration Of The Epididymis cost?

$832

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $2,818 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$794$589 to $933
FacilityA hospital or hospital-owned outpatient department$2,818$1,072 to $5,248

How much rates vary

Facilitymedian $2,818 · 10th to 90th $676 to $8,318Professionalmedian $794 · 10th to 90th $417 to $1,148
$500$1K$2K$5K$10Kfacility $2,818professional $794

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$2,951.21
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$2,818.38
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$851.14
Typical High
$1,047.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$478.63
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,659.59
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$831.76
Typical High
$2,691.53
Midlands
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$831.76
Typical High
$977.24
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$954.99
Typical High
$1,096.48
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$3,630.78
Typical High
$9,332.54
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$602.56
Typical High
$1,148.15
Wellmark
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$794.33

Where Iowa 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.

Iowa· 8th of 51

$832

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.