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Needle Biopsy Of The Testicle

Iowa 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?

$195

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $3,802 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$132$97.72 to $214
FacilityA hospital or hospital-owned outpatient department$3,802$2,239 to $6,310

How much rates vary

Facilitymedian $3,802 · 10th to 90th $170 to $7,943Professionalmedian $132 · 10th to 90th $68 to $447
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,802professional $132

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
$602.56
Median
$3,801.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$2,238.72
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,370.32
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$234.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$158.49

Where Iowa 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.

Iowa $195 · 13th 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.