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Needle Biopsy Of The Epididymis

Nebraska 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?

$288

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $4,074 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$229$141 to $295
FacilityA hospital or hospital-owned outpatient department$4,074$2,818 to $8,511

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,549 to $13,490Professionalmedian $229 · 10th to 90th $115 to $661
$100$500$2K$10Kfacility $4,074professional $229

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
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,456.54
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$288.40
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$2,041.74
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$346.74

Where Nebraska 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.

Nebraska· 15th of 51

$288

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.