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Needle Biopsy Of The Testicle

Connecticut 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?

$166

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $5,012 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 5 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$115$87.10 to $170
FacilityA hospital or hospital-owned outpatient department$5,012$4,365 to $7,943

How much rates vary

Facilitymedian $5,012 · 10th to 90th $3,388 to $11,749Professionalmedian $115 · 10th to 90th $71 to $200
$100$200$500$1K$2K$5K$10Kfacility $5,012professional $115

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
$3,388.44
Median
$4,786.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$151.36
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$199.53
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$218.78

Where Connecticut sits

The same service costs 40.7 times more in Colorado 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.

Connecticut· 16th of 51

$166

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.