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Deep Tissue Biopsy Of The Penis

South Dakota rates for HCPCS 54105

A sample of tissue is taken from the deeper structures of the penis, beneath the skin, and sent for laboratory examination. It is done to find the cause of a lump, hardened area, or suspected cancer that lies below the surface. The wound is then closed with stitches.

Rates data updated July 2026.

How much does Deep Tissue Biopsy Of The Penis cost?

$437

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $437 for this service. Most negotiated rates run $355 to $537.

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.

How much rates vary

Facilitymedian $550 · 10th to 90th $219 to $4,365Professionalmedian $437 · 10th to 90th $309 to $537
$200.0$500.0$1.0K$2.0K$5.0Kfacility $550professional $437

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. 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
Global
Typical Low
$213.80
Median
$2,290.87
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,888.44

Where South Dakota sits

The same service costs 36.3 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $437 · 46th of 50
IN $9,333ND $257

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.