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Needle Biopsy Of The Epididymis

Iowa 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?

$324

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $3,388 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$224$166 to $355
FacilityA hospital or hospital-owned outpatient department$3,388$2,239 to $4,898

How much rates vary

Facilitymedian $3,388 · 10th to 90th $288 to $6,761Professionalmedian $224 · 10th to 90th $115 to $741
$200$500$1K$2K$5K$10Kfacility $3,388professional $224

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
$602.56
Median
$3,801.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$354.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,318.26
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,715.35
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$263.03

Where Iowa 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.

Iowa· 11th of 51

$324

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.