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Needle Biopsy Of The Epididymis

California 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?

$3,162

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $4,467 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 12 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$170$138 to $324
FacilityA hospital or hospital-owned outpatient department$4,467$2,951 to $6,457

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,660 to $13,490Professionalmedian $170 · 10th to 90th $112 to $741
$100$500$2K$10Kfacility $4,467professional $170

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
$1,737.80
Median
$5,888.44
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$457.09
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,311.31
Typical High
$6,606.93
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$371.54
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$19,498.45
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$346.74
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,019.95
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$363.08

Where California 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.

California· 1st of 51

$3,162

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.