go back

Needle Biopsy Of The Epididymis

Michigan 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?

$158

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $2,239 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$158$129 to $191
FacilityA hospital or hospital-owned outpatient department$2,239$2,042 to $4,898

How much rates vary

Facilitymedian $2,239 · 10th to 90th $204 to $4,898Professionalmedian $158 · 10th to 90th $123 to $257
$100$200$500$1K$2K$5Kfacility $2,239professional $158

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
$158.49
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$107.15
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$398.11
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$208.93
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,238.72
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$223.87

Where Michigan 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.

Michigan· 45th of 51

$158

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.