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Needle Biopsy Of The Epididymis

Georgia 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?

$251

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $3,090 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 5 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$178$141 to $245
FacilityA hospital or hospital-owned outpatient department$3,090$1,445 to $4,571

How much rates vary

Facilitymedian $3,090 · 10th to 90th $759 to $7,079Professionalmedian $178 · 10th to 90th $120 to $316
$100$200$500$1K$2K$5K$10Kfacility $3,090professional $178

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
$316.23
Median
$3,630.78
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,884.03
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$295.12

Where Georgia 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.

Georgia· 17th of 51

$251

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.