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Surgical Exploration Of The Epididymis

Nebraska 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 October 2026.

How much does Surgical Exploration Of The Epididymis cost?

$1,096

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $2,570 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$676 to $977
FacilityA hospital or hospital-owned outpatient department$2,570$1,622 to $5,370

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,072 to $8,128Professionalmedian $813 · 10th to 90th $468 to $2,630
$500$1K$2K$5K$10Kfacility $2,570professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$4,365.16
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$1,584.89
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$6,760.83
Typical High
$13,803.84
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,570.40
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$2,089.30
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$812.83
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,819.70
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$758.58
Typical High
$2,691.53
Midlands
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$831.76
Typical High
$1,096.48
Midlands
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$2,344.23
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$707.95
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,862.09
Typical High
$5,623.41
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$776.25
Typical High
$1,000.00

Where Nebraska sits

The same service costs 6.2 times more in Alaska than in Utah. 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.

Nebraska· 4th of 51

$1,096

AK $1,905UT $309

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.