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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 July 2026.

How much does Surgical Exploration Of The Epididymis cost?

$832

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $5,248 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 6 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$692$417 to $851
FacilityA hospital or hospital-owned outpatient department$5,248$3,388 to $8,511

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,549 to $13,490Professionalmedian $692 · 10th to 90th $331 to $1,995
$500$1K$2K$5K$10K$20Kfacility $5,248professional $692

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
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$691.83
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,456.54
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$776.25
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$1,000.00

Where Nebraska 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.

Nebraska· 14th of 51

$832

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.