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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 October 2026.

How much does Needle Biopsy Of The Testicle cost?

$178

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $2,239 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$123 to $200
FacilityA hospital or hospital-owned outpatient department$2,239$646 to $4,365

How much rates vary

Facilitymedian $2,239 · 10th to 90th $170 to $6,761Professionalmedian $162 · 10th to 90th $87 to $437
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$2,951.21
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,995.26
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$177.83
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$125.89
Typical High
$478.63
Medica
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$1,174.90
Typical High
$6,760.83
Medica
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$190.55
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$173.78
Typical High
$204.17
Midlands
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,995.26
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$3,090.30
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$158.49

Where Iowa 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.

Iowa· 11th of 51

$178

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.