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Needle Biopsy Of The Epididymis

Minnesota 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?

$302

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $955 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$295$224 to $407
FacilityA hospital or hospital-owned outpatient department$955$363 to $2,884

How much rates vary

Facilitymedian $955 · 10th to 90th $240 to $5,495Professionalmedian $295 · 10th to 90th $162 to $490
$100$200$500$1K$2K$5K$10Kfacility $955professional $295

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
$112.20
Median
$112.20
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$575.44
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$954.99
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,311.31
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$489.78

Where Minnesota 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.

Minnesota· 12th of 51

$302

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.