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Needle Biopsy Of The Epididymis

Maine 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?

$166

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $138 to $214.

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 $3,388 · 10th to 90th $3,388 to $3,388Professionalmedian $166 · 10th to 90th $126 to $251
$200$500$1K$2Kfacility $3,388professional $166

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
$125.89
Median
$125.89
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$275.42
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$309.03

Where Maine 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.

Maine· 44th of 51

$166

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.