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Surgical Exploration Of The Epididymis

North Dakota 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?

$708

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $363 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$708$398 to $832
FacilityA hospital or hospital-owned outpatient department$363$363 to $1,995

How much rates vary

Facilitymedian $363 · 10th to 90th $331 to $8,511Professionalmedian $708 · 10th to 90th $363 to $933
$500$1K$2K$5Kfacility $363professional $708

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
$331.13
Median
$363.08
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$891.25

Where North Dakota 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.

North Dakota· 18th of 51

$708

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.