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Needle Biopsy Of The Epididymis

New York 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?

$339

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $3,981 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 9 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$155$126 to $224
FacilityA hospital or hospital-owned outpatient department$3,981$2,455 to $6,026

How much rates vary

Facilitymedian $3,981 · 10th to 90th $195 to $8,913Professionalmedian $155 · 10th to 90th $110 to $398
$100$200$500$1K$2K$5K$10Kfacility $3,981professional $155

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
$162.18
Median
$3,090.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$331.13
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$537.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$128.82
Typical High
$288.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$239.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$309.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,162.28
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$331.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$426.58
Univera
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$316.23

Where New York 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 York· 9th of 51

$339

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.