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Surgical Exploration Of The Epididymis

South Dakota 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?

$676

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $2,291 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 7 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$617$372 to $851
FacilityA hospital or hospital-owned outpatient department$2,291$513 to $2,692

How much rates vary

Facilitymedian $2,291 · 10th to 90th $437 to $4,365Professionalmedian $617 · 10th to 90th $302 to $1,047
$500$1K$2K$5Kfacility $2,291professional $617

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
$363.08
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$645.65
Typical High
$2,691.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$794.33
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$1,000.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$812.83

Where South Dakota 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 Dakota· 20th of 51

$676

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.