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Needle Biopsy Of The Epididymis

Florida 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?

$200

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $3,890 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 8 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$132$117 to $162
FacilityA hospital or hospital-owned outpatient department$3,890$1,514 to $7,244

How much rates vary

Facilitymedian $3,890 · 10th to 90th $661 to $10,715Professionalmedian $132 · 10th to 90th $107 to $316
$50$200$1K$5Kfacility $3,890professional $132

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
$645.65
Median
$3,388.44
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
AvMed
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,905.46
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$707.95
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$288.40
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,897.79
Typical High
$9,772.37
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,398.83
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$269.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$128.82

Where Florida 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.

Florida· 34th of 51

$200

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.