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Surgical Exploration Of The Epididymis

South Carolina 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 negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $5,623 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$447$363 to $468
FacilityA hospital or hospital-owned outpatient department$5,623$3,020 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $468 to $20,893Professionalmedian $447 · 10th to 90th $347 to $692
$50$200$1K$5K$20Kfacility $5,623professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$5,888.44
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,165.95
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$10,715.19
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$741.31

Where South Carolina 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.

South Carolina· 45th 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.