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Needle Biopsy Of The Testicle

Georgia 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?

$155

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $3,548 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$102$83.18 to $141
FacilityA hospital or hospital-owned outpatient department$3,548$1,445 to $5,370

How much rates vary

Facilitymedian $3,548 · 10th to 90th $794 to $7,413Professionalmedian $102 · 10th to 90th $71 to $195
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,548professional $102

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
$194.98
Median
$3,548.13
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,090.30
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$173.78

Where Georgia 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.

Georgia $155 · 17th 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.