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Surgical Exploration Of The Epididymis

Minnesota 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?

$851

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,413 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$776$603 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,413$676 to $2,951

How much rates vary

Facilitymedian $1,413 · 10th to 90th $339 to $7,943Professionalmedian $776 · 10th to 90th $417 to $1,445
$500$1K$2K$5K$10Kfacility $1,413professional $776

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
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Facility
Modifier
78 · Unplanned return to OR
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$467.74
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$251.19
Median
$251.19
Typical High
$309.03
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$234.42
Median
$234.42
Typical High
$288.40
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,135.61
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$776.25
Typical High
$1,288.25
BCBS Minnesota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$457.09
Median
$616.60
Typical High
$1,023.29
BCBS Minnesota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$114.82
Median
$154.88
Typical High
$251.19
BCBS Minnesota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$478.63
Median
$645.65
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$912.01
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,659.59
Health Partners
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$851.14
Typical High
$1,479.11
Health Partners
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$2,187.76
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$794.33
Typical High
$2,691.53
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$741.31
Typical High
$1,380.38

Where Minnesota 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.

Minnesota· 7th of 51

$851

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.