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Needle Biopsy of the Penis

Hawaii 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 October 2026.

How much does Needle Biopsy of the Penis cost?

$204

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $955 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$126 to $263
FacilityA hospital or hospital-owned outpatient department$955$813 to $1,738

How much rates vary

Facilitymedian $955 · 10th to 90th $724 to $2,884Professionalmedian $191 · 10th to 90th $30 to $309
$50$100$200$500$1K$2Kfacility $955professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$165.96
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$263.03
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$218.78
Typical High
$309.03
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$263.03
Typical High
$263.03
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$162.18
Typical High
$2,570.40

Where Hawaii sits

The same service costs 4.0 times more in Alaska than in Kentucky. 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.

Hawaii· 42nd of 51

$204

AK $631KY $158

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.