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Needle Biopsy Of The Epididymis

Alaska rates for HCPCS 54800

A small tissue sample is taken with a needle from the epididymis, the coiled tube behind the testicle that stores and carries sperm. The sample is examined under a microscope, usually as part of investigating infertility or a lump.

Rates data updated July 2026.

How much does Needle Biopsy Of The Epididymis cost?

$437

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $309 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 6 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$437$275 to $692
FacilityA hospital or hospital-owned outpatient department$309$148 to $1,000

How much rates vary

Facilitymedian $309 · 10th to 90th $138 to $6,607Professionalmedian $437 · 10th to 90th $138 to $871
$100$200$500$1K$2K$5K$10Kfacility $309professional $437

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
$416.87
Median
$5,888.44
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$323.59
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$309.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$977.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$870.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$724.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$275.42
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$346.74
Typical High
$870.96

Where Alaska sits

The same service costs 22.9 times more in California 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.

Alaska· 6th of 51

$437

CA $3,162DE $138

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.