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Removal Of A Hydrocele, One Side

Virginia rates for HCPCS 55040

Removes the fluid-filled sac that has built up around one testicle and causes painless swelling of the scrotum. Through a small incision the surgeon drains the fluid and cuts away or folds back the sac lining so that it cannot refill. It treats one side only and is usually a day procedure.

Rates data updated July 2026.

How much does Removal Of A Hydrocele, One Side cost?

$3,631

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $589 to $7,079.

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.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $389 to $10,000Professionalmedian $417 · 10th to 90th $309 to $794
$500$1K$2K$5K$10Kfacility $3,981professional $417

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
$478.63
Median
$4,265.80
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$724.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$17,782.79

Where Virginia sits

The same service costs 15.8 times more in Maine than in Montana. 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.

Virginia· 33rd of 51

$3,631

ME $9,333MT $589

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.