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Needle Biopsy of the Penis

Connecticut rates for HCPCS 54100

This procedure uses a needle to remove a small sample of tissue from the penis for examination under a microscope. It may be used to evaluate a lump, area of hardening, or other abnormal finding, helping determine whether it is benign or requires further treatment. The sample provides information about the type of tissue change that is present.

Rates data updated July 2026.

Facilitymedian $4,677 · 10th–90th $3,388$8,5110%10%10th90th$4,677Professionalmedian $257 · 10th–90th $129$5370%10%10th90th$257$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$524.81
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$457.09