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Needle Biopsy Of The Epididymis

Kentucky 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?

$295

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $2,089 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 6 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$141$129 to $191
FacilityA hospital or hospital-owned outpatient department$2,089$1,413 to $2,754

How much rates vary

Facilitymedian $2,089 · 10th to 90th $794 to $3,388Professionalmedian $141 · 10th to 90th $117 to $398
$100$200$500$1K$2K$5Kfacility $2,089professional $141

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
$117.49
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$234.42
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,621.81
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$245.47

Where Kentucky 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.

Kentucky· 13th of 51

$295

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.