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Needle Biopsy Of The Epididymis

New Mexico 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?

$191

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $1,000 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$182$115 to $209
FacilityA hospital or hospital-owned outpatient department$1,000$182 to $2,455

How much rates vary

Facilitymedian $1,000 · 10th to 90th $170 to $3,236Professionalmedian $182 · 10th to 90th $115 to $661
$50$100$200$500$1K$2K$5Kfacility $1,000professional $182

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
$173.78
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$181.97
Providence
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$323.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,630.27
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$295.12

Where New Mexico 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 Mexico· 37th of 51

$191

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.