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Surgical Exploration Of The Epididymis

Kansas 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?

$575

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $3,467 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 5 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$479$447 to $562
FacilityA hospital or hospital-owned outpatient department$3,467$1,660 to $5,754

How much rates vary

Facilitymedian $3,467 · 10th to 90th $661 to $8,128Professionalmedian $479 · 10th to 90th $363 to $676
$500$1K$2K$5K$10Kfacility $3,467professional $479

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
$1,348.96
Median
$3,630.78
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,479.11
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,630.27
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$676.08

Where Kansas 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.

Kansas· 31st of 51

$575

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.