go back

Needle Biopsy Of The Testicle

Illinois 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?

$141

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $1,738 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 6 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$89.13$75.86 to $141
FacilityA hospital or hospital-owned outpatient department$1,738$933 to $3,311

How much rates vary

Facilitymedian $1,738 · 10th to 90th $141 to $5,623Professionalmedian $89 · 10th to 90th $72 to $347
$50.0$200.0$1.0K$5.0Kfacility $1,738professional $89

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
$141.25
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,715.35
Typical High
$5,011.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$223.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$741.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$93.33
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,454.71
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$173.78

Where Illinois 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.

Illinois $141 · 22nd 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.