go back

Needle Biopsy Of The Epididymis

Virginia 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 negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $1,950 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$148$138 to $204
FacilityA hospital or hospital-owned outpatient department$1,950$191 to $4,467

How much rates vary

Facilitymedian $1,950 · 10th to 90th $141 to $7,079Professionalmedian $148 · 10th to 90th $123 to $2,042
$100$200$500$1K$2K$5K$10Kfacility $1,950professional $148

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
$141.25
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$331.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$288.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$263.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$2,951.21
Sentara
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,089.30
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$269.15

Where Virginia 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.

Virginia· 41st 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.