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Needle Biopsy Of The Testicle

Delaware 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 October 2026.

How much does Needle Biopsy Of The Testicle cost?

$100

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $708 from a hospital or other facility.

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 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$70.79 to $100
FacilityA hospital or hospital-owned outpatient department$708$550 to $1,698

How much rates vary

Facilitymedian $708 · 10th to 90th $417 to $2,399Professionalmedian $81 · 10th to 90th $66 to $132
$100$200$500$1K$2K$5Kfacility $708professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$66.07
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$75.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$1,412.54
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$89.13
Typical High
$131.83
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$616.60
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$85.11
Typical High
$134.90

Where Delaware sits

The same service costs 11.2 times more in Tennessee than in New York. 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.

Delaware· 39th of 51

$100

TN $832NY $74.13

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.