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Needle Biopsy Of The Testicle

Indiana 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?

$132

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $9,333 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$87.10$74.13 to $115
FacilityA hospital or hospital-owned outpatient department$9,333$3,981 to $15,136

How much rates vary

Facilitymedian $9,333 · 10th to 90th $1,047 to $17,783Professionalmedian $87 · 10th to 90th $72 to $148
$50.0$200.0$1.0K$5.0K$20.0Kfacility $9,333professional $87

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
$109.65
Median
$4,897.79
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$83.18
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$154.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$141.25

Where Indiana 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.

Indiana $132 · 25th 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.