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Needle Biopsy Of The Epididymis

Utah 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?

$195

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $3,162 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$178$162 to $229
FacilityA hospital or hospital-owned outpatient department$3,162$2,951 to $4,169

How much rates vary

Facilitymedian $3,162 · 10th to 90th $195 to $4,571Professionalmedian $178 · 10th to 90th $126 to $347
$50$100$200$500$1K$2K$5Kfacility $3,162professional $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
$194.98
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$245.47
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$208.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$234.42
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$263.03

Where Utah 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.

Utah· 36th of 51

$195

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.