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Needle Biopsy of the Penis

West Virginia 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.

How much does Needle Biopsy of the Penis cost?

$204

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $4,571 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$195$141 to $245
FacilityA hospital or hospital-owned outpatient department$4,571$195 to $4,571

How much rates vary

Facilitymedian $4,571 · 10th to 90th $120 to $4,571Professionalmedian $195 · 10th to 90th $120 to $263
$100$200$500$1K$2K$5Kfacility $4,571professional $195

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
$120.23
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$154.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$316.23

Where West Virginia sits

The same service costs 6.2 times more in Hawaii 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

$204

HI $1,148DE $186

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.