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Needle Biopsy Of The Epididymis

Maryland 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?

$141

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $129 to $178.

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.

How much rates vary

Facilitymedian $741 · 10th to 90th $427 to $3,388Professionalmedian $141 · 10th to 90th $120 to $355
$100$200$500$1K$2Kfacility $741professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$660.69
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$269.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$173.78

Where Maryland 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.

Maryland· 50th of 51

$141

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.