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Surgical Exploration Of The Epididymis

North Carolina 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 $1,349 · 10th–90th $347$8,7100%5%10%10th90th$1,349Professionalmedian $501 · 10th–90th $347$1,0230%10%10th90th$501$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$346.74
Median
$1,380.38
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$831.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$3,019.95