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Needle Biopsy Of The Epididymis

Oklahoma 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?

$1,000

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $1,380 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 4 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$129 to $174
FacilityA hospital or hospital-owned outpatient department$1,380$813 to $2,754

How much rates vary

Facilitymedian $1,380 · 10th to 90th $269 to $6,457Professionalmedian $155 · 10th to 90th $117 to $1,950
$100$200$500$1K$2K$5K$10Kfacility $1,380professional $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
$501.19
Median
$1,380.38
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$724.44
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,288.25
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$199.53

Where Oklahoma 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.

Oklahoma· 4th of 51

$1,000

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.