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Needle Biopsy Of The Epididymis

Delaware 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?

$138

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $129 to $182.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $129 to $7,244Professionalmedian $138 · 10th to 90th $112 to $324
$100$200$500$1K$2K$5Kfacility $3,236professional $138

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$263.03

Where Delaware 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.

Delaware· 51st of 51

$138

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.