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Surgical Exploration Of The Epididymis

Montana 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?

$617

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $631 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 5 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$617$525 to $724
FacilityA hospital or hospital-owned outpatient department$631$617 to $646

How much rates vary

Facilitymedian $631 · 10th to 90th $575 to $741Professionalmedian $617 · 10th to 90th $372 to $1,995
$100$200$500$1K$2K$5K$10Kfacility $631professional $617

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$691.83
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$602.56
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$741.31
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$398.11
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$891.25

Where Montana 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.

Montana· 26th of 51

$617

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.