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Needle Biopsy Of The Epididymis

Oregon 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?

$245

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $245 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 8 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$240$191 to $309
FacilityA hospital or hospital-owned outpatient department$245$229 to $316

How much rates vary

Facilitymedian $245 · 10th to 90th $166 to $6,607Professionalmedian $240 · 10th to 90th $151 to $398
$100$500$2K$10Kfacility $245professional $240

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
$309.03
Median
$5,011.87
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$323.59
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$331.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$257.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$239.88
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,248.07
Typical High
$6,918.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,388.44
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$354.81

Where Oregon 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.

Oregon· 20th of 51

$245

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.