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Needle Biopsy Of The Epididymis

South Dakota 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?

$229

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $339 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 7 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$229$145 to $288
FacilityA hospital or hospital-owned outpatient department$339$174 to $2,291

How much rates vary

Facilitymedian $339 · 10th to 90th $141 to $4,365Professionalmedian $229 · 10th to 90th $105 to $355
$100$200$500$1K$2Kfacility $339professional $229

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
$125.89
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$223.87
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$295.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$251.19
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$269.15

Where South Dakota 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.

South Dakota· 25th of 51

$229

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.