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Needle Biopsy Of The Epididymis

Washington, DC 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?

$141

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $141 to $2,138.

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.

How much rates vary

Facilitymedian $2,754 · 10th to 90th $141 to $7,762Professionalmedian $141 · 10th to 90th $132 to $257
$200$500$1K$2K$5Kfacility $2,754professional $141

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
$141.25
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$141.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$1,819.70
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$3,388.44
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$346.74

Where Washington, DC 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.

Washington, DC· 49th of 51

$141

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.