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Needle Biopsy Of The Testicle

Colorado 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?

$3,236

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $6,026 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 7 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$89.13$85.11 to $112
FacilityA hospital or hospital-owned outpatient department$6,026$3,715 to $10,000

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,202 to $12,882Professionalmedian $89 · 10th to 90th $83 to $200
$50.0$200.0$1.0K$5.0K$20.0Kfacility $6,026professional $89

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
$1,202.26
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$173.78
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$741.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$141.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,715.35
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$181.97

Where Colorado 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.

Colorado $3,236 · 1st 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.