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Needle Biopsy Of The Epididymis

Tennessee 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?

$200

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $1,905 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 5 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$178$129 to $200
FacilityA hospital or hospital-owned outpatient department$1,905$1,202 to $2,570

How much rates vary

Facilitymedian $1,905 · 10th to 90th $603 to $4,169Professionalmedian $178 · 10th to 90th $123 to $479
$200$500$1K$2K$5K$10Kfacility $1,905professional $178

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
$467.74
Median
$1,819.70
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,137.96
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$281.84

Where Tennessee 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.

Tennessee· 35th of 51

$200

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.