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Surgical Exploration Of The Epididymis

Nevada 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?

$513

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,950 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$398$372 to $513
FacilityA hospital or hospital-owned outpatient department$1,950$1,585 to $3,981

How much rates vary

Facilitymedian $1,950 · 10th to 90th $372 to $5,888Professionalmedian $398 · 10th to 90th $372 to $1,995
$50$200$1K$5Kfacility $1,950professional $398

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
$371.54
Median
$1,698.24
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$575.44
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$389.05
Typical High
$575.44
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$331.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$426.58
Typical High
$831.76

Where Nevada 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.

Nevada· 38th of 51

$513

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.