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Needle Biopsy Of The Testicle

Alabama rates for HCPCS 54500

A thin needle is passed through the skin of the scrotum to take a small sample of tissue from a testicle, which is then examined under a microscope. It is most often used to look into fertility problems or an abnormal finding in the testicle.

Rates data updated July 2026.

How much does Needle Biopsy Of The Testicle cost?

$120

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $832 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$117$75.86 to $117
FacilityA hospital or hospital-owned outpatient department$832$617 to $1,585

How much rates vary

Facilitymedian $832 · 10th to 90th $537 to $2,399Professionalmedian $117 · 10th to 90th $72 to $138
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $832professional $117

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,819.70
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$120.23

Where Alabama sits

The same service costs 40.7 times more in Colorado than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $120 · 31st of 51
CO $3,236DE $79.43

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.