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Needle Biopsy Of The Testicle

Idaho 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?

$123

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $3,388 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 8 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$110$97.72 to $148
FacilityA hospital or hospital-owned outpatient department$3,388$151 to $5,754

How much rates vary

Facilitymedian $3,388 · 10th to 90th $91 to $7,244Professionalmedian $110 · 10th to 90th $76 to $148
$50.0$200.0$1.0K$5.0Kfacility $3,388professional $110

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,388.44
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$158.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,456.54
Typical High
$9,332.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$141.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$3,090.30
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$151.36

Where Idaho 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.

Idaho $123 · 29th 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.