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Needle Biopsy Of The Epididymis

Colorado 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?

$2,951

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $5,129 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 7 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$151$141 to $195
FacilityA hospital or hospital-owned outpatient department$5,129$3,236 to $7,586

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,175 to $9,333Professionalmedian $151 · 10th to 90th $138 to $347
$100$200$500$1K$2K$5K$10Kfacility $5,129professional $151

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
$1,202.26
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$257.04
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$602.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$309.03

Where Colorado 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.

Colorado· 2nd of 51

$2,951

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.