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Surgical Exploration Of The Epididymis

Rhode Island 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?

$468

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $363 to $562.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,549 to $7,762Professionalmedian $447 · 10th to 90th $363 to $631
$500$1K$2K$5K$10Kfacility $3,715professional $447

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$794.33

Where Rhode Island 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.

Rhode Island· 44th of 51

$468

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.