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Needle Biopsy Of The Epididymis

Indiana 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?

$234

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $6,310 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$162$129 to $204
FacilityA hospital or hospital-owned outpatient department$6,310$3,802 to $8,913

How much rates vary

Facilitymedian $6,310 · 10th to 90th $977 to $10,471Professionalmedian $162 · 10th to 90th $123 to $257
$100$200$500$1K$2K$5K$10Kfacility $6,310professional $162

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
$181.97
Median
$4,897.79
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$245.47

Where Indiana 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.

Indiana· 23rd of 51

$234

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.