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Surgical Exploration Of The Epididymis

Massachusetts 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?

$550

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $2,239 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 7 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$447$380 to $794
FacilityA hospital or hospital-owned outpatient department$2,239$1,288 to $3,631

How much rates vary

Facilitymedian $2,239 · 10th to 90th $363 to $5,623Professionalmedian $447 · 10th to 90th $347 to $1,122
$200$500$1K$2K$5K$10Kfacility $2,239professional $447

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
$1,000.00
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$1,122.02
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,370.32
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$549.54
Typical High
$1,000.00
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$436.52
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$549.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$1,047.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,370.32
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$660.69
Typical High
$1,348.96

Where Massachusetts 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.

Massachusetts· 33rd of 51

$550

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.