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Needle Biopsy Of The Epididymis

Arizona 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?

$240

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $2,399 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$145$129 to $182
FacilityA hospital or hospital-owned outpatient department$2,399$1,445 to $4,677

How much rates vary

Facilitymedian $2,399 · 10th to 90th $661 to $5,623Professionalmedian $145 · 10th to 90th $123 to $661
$100$200$500$1K$2K$5Kfacility $2,399professional $145

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
$1,445.44
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,778.28
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$239.88

Where Arizona 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.

Arizona· 22nd of 51

$240

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.