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Needle Biopsy Of The Epididymis

New Hampshire 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?

$200

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $1,738 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$191$135 to $251
FacilityA hospital or hospital-owned outpatient department$1,738$1,514 to $7,943

How much rates vary

Facilitymedian $1,738 · 10th to 90th $537 to $9,772Professionalmedian $191 · 10th to 90th $123 to $347
$100$200$500$1K$2K$5K$10Kfacility $1,738professional $191

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
$100.00
Median
$1,819.70
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$371.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$446.68

Where New Hampshire 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.

New Hampshire· 33rd of 51

$200

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.