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Needle Biopsy Of The Testicle

Kentucky 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?

$105

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $2,089 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$77.62$72.44 to $97.72
FacilityA hospital or hospital-owned outpatient department$2,089$1,413 to $2,818

How much rates vary

Facilitymedian $2,089 · 10th to 90th $794 to $3,802Professionalmedian $78 · 10th to 90th $69 to $245
$100$200$500$1K$2K$5Kfacility $2,089professional $78

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
$70.79
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,137.96
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$144.54

Where Kentucky sits

The same service costs 40.7 times more in Colorado than in Delaware. 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.

Kentucky· 39th of 51

$105

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.