go back

Surgical Exploration Of The Epididymis

Utah 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?

$562

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $3,388 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$479$447 to $724
FacilityA hospital or hospital-owned outpatient department$3,388$3,020 to $4,571

How much rates vary

Facilitymedian $3,388 · 10th to 90th $479 to $6,026Professionalmedian $479 · 10th to 90th $363 to $955
$50$200$1K$5Kfacility $3,388professional $479

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
$478.63
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,760.83
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$602.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$602.56
Typical High
$707.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$741.31

Where Utah 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.

Utah· 32nd of 51

$562

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.