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Unlisted Keyhole Procedure, Spermatic Cord

New York rates for HCPCS 55559

Covers a keyhole operation on the spermatic cord — the bundle of vessels, nerves and the sperm-carrying tube that runs from the abdomen to the testicle — that has no standard named entry of its own. The surgeon works through small abdominal incisions with a camera and long instruments, and submits a written report of what was done. It is used when the operation performed does not match any established description.

Rates data updated October 2026.

How much does Unlisted Keyhole Procedure, Spermatic Cord cost?

$5,754

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $6,026 from a physician practice, and about $5,623 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,026$398 to $10,965
FacilityA hospital or hospital-owned outpatient department$5,623$2,818 to $8,913

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,585 to $12,589Professionalmedian $6,026 · 10th to 90th $65 to $16,218
$50$200$1K$5K$20Kfacility $5,623professional $6,026

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$9,549.93
Typical High
$21,877.62
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$6,760.83
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$53.70
CDPHP
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,778.28
Typical High
$3,981.07
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$7,079.46
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$3,548.13
Typical High
$12,302.69
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where New York sits

The same service costs 371.5 times more in Alaska than in Hawaii. 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.

New York· 12th of 51

$5,754

AK $10,965HI $29.51

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.