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Needle Biopsy Of The Epididymis

Arkansas 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 Arkansas, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $1,318 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$166$129 to $186
FacilityA hospital or hospital-owned outpatient department$1,318$794 to $1,820

How much rates vary

Facilitymedian $1,318 · 10th to 90th $178 to $2,089Professionalmedian $166 · 10th to 90th $117 to $214
$100$200$500$1K$2Kfacility $1,318professional $166

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
$169.82
Median
$1,000.00
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,148.15
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$269.15

Where Arkansas 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.

Arkansas· 31st 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.