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Needle Biopsy Of The Epididymis

North Dakota 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?

$245

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $126 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 5 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$245$170 to $288
FacilityA hospital or hospital-owned outpatient department$126$126 to $1,995

How much rates vary

Facilitymedian $126 · 10th to 90th $112 to $8,511Professionalmedian $245 · 10th to 90th $126 to $324
$200$500$1K$2K$5Kfacility $126professional $245

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
$125.89
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$316.23

Where North Dakota 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.

North Dakota· 18th of 51

$245

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.