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Surgical Exploration Of The Epididymis

Illinois 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.

Facilitymedian $1,862 · 10th–90th $537$5,7540%5%10th90th$1,862Professionalmedian $468 · 10th–90th $347$9550%10%10th90th$468$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,128.61
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$1,698.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$794.33