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Surgical Exploration Of The Epididymis

Kentucky 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 $2,089 · 10th–90th $794$3,8900%10%10th90th$2,089Professionalmedian $372 · 10th–90th $316$7080%20%10th90th$372$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$338.84
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$676.08