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Needle Biopsy Of The Epididymis

Rhode Island 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?

$178

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $126 to $209.

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.

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,445 to $4,074Professionalmedian $155 · 10th to 90th $126 to $229
$100$200$500$1K$2K$5Kfacility $2,455professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,454.71
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$245.47

Where Rhode Island 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.

Rhode Island· 39th of 51

$178

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.