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Surgical Exploration Of The Epididymis

Ohio 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 $3,090 · 10th–90th $708$10,7150%10%10th90th$3,090Professionalmedian $407 · 10th–90th $302$2,6300%20%10th90th$407$5.0$20.0$100.0$500.0$2.0K$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
$676.08
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$478.63
Typical High
$724.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$478.63
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$676.08