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Surgical Exploration Of The Epididymis

Michigan 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 October 2026.

How much does Surgical Exploration Of The Epididymis cost?

$468

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $1,862 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$417 to $525
FacilityA hospital or hospital-owned outpatient department$1,862$1,230 to $2,630

How much rates vary

Facilitymedian $1,862 · 10th to 90th $776 to $3,890Professionalmedian $457 · 10th to 90th $347 to $776
$100$200$500$1K$2K$5Kfacility $1,862professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$457.09
Typical High
$467.74
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$316.23
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$295.12
Median
$323.59
Typical High
$323.59
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,905.46
Typical High
$3,311.31
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$478.63
Typical High
$1,318.26
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,318.26
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$457.09
Typical High
$549.54
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Health Alliance Plan
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Priority Health
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Priority Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$416.87
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,230.27
Typical High
$5,248.07
United
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$467.74
Typical High
$588.84

Where Michigan sits

The same service costs 6.2 times more in Alaska than in Utah. 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.

Michigan· 37th of 51

$468

AK $1,905UT $309

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.