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Surgical Exploration Of The Epididymis

Louisiana 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?

$933

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $2,188 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$501$407 to $550
FacilityA hospital or hospital-owned outpatient department$2,188$1,096 to $3,548

How much rates vary

Facilitymedian $2,188 · 10th to 90th $501 to $5,754Professionalmedian $501 · 10th to 90th $316 to $617
$500$1K$2K$5Kfacility $2,188professional $501

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
$501.19
Median
$1,288.25
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,370.32
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$616.60
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$676.08

Where Louisiana 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.

Louisiana· 9th of 51

$933

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.