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Needle Biopsy Of The Epididymis

Alabama 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?

$204

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,738 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 4 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$200$129 to $200
FacilityA hospital or hospital-owned outpatient department$1,738$933 to $3,090

How much rates vary

Facilitymedian $1,738 · 10th to 90th $562 to $3,715Professionalmedian $200 · 10th to 90th $123 to $229
$100$200$500$1K$2K$5Kfacility $1,738professional $200

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,388.44
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,258.93
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$204.17

Where Alabama 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.

Alabama· 32nd of 51

$204

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.