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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.

Facilitymedian $3,548 · 10th–90th $1,175$7,7620%5%10%10th90th$3,548Professionalmedian $427 · 10th–90th $347$1,6980%10%20%10th90th$427$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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