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Unlisted Keyhole Procedure, Spermatic Cord

Pennsylvania 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 July 2026.

How much does Unlisted Keyhole Procedure, Spermatic Cord cost?

$4,786

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $5,012 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 5 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$1,413$1,413 to $6,166
FacilityA hospital or hospital-owned outpatient department$5,012$3,548 to $6,918

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,413 to $8,511Professionalmedian $1,413 · 10th to 90th $1,202 to $64,565
$500$1K$2K$5K$10K$20K$50Kfacility $5,012professional $1,413

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
$1,288.25
Median
$5,248.07
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$3,630.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,073.80
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$7,244.36
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,801.89
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$17,782.79

Where Pennsylvania sits

The same service costs 15.8 times more in Indiana than in Maryland. 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.

Pennsylvania· 29th of 50

$4,786

IN $18,197MD $1,148

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.