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Needle Biopsy Of The Epididymis

West 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?

$141

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $126 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 4 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$141$126 to $141
FacilityA hospital or hospital-owned outpatient department$126$126 to $1,230

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $1,413Professionalmedian $141 · 10th to 90th $126 to $195
$100$200$500$1K$2K$5Kfacility $126professional $141

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
$125.89
Median
$125.89
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$162.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,089.30
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$229.09

Where West 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.

West Virginia· 48th of 51

$141

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.