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Surgical Exploration Of The Epididymis

Missouri 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?

$1,698

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $3,548 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 6 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$427$372 to $562
FacilityA hospital or hospital-owned outpatient department$3,548$2,239 to $5,248

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,175 to $7,762Professionalmedian $427 · 10th to 90th $347 to $1,698
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,548professional $427

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
$812.83
Median
$2,511.89
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$478.63
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,659.59
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$891.25

Where Missouri sits

The same service costs 8.3 times more in Colorado than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $1,698 · 3rd of 51
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.