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Needle Biopsy Of The Testicle

Massachusetts 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?

$117

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $2,239 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$95.50$79.43 to $158
FacilityA hospital or hospital-owned outpatient department$2,239$1,096 to $3,388

How much rates vary

Facilitymedian $2,239 · 10th to 90th $76 to $5,129Professionalmedian $95 · 10th to 90th $69 to $240
$100.0$1.0K$10.0Kfacility $2,239professional $95

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
$1,000.00
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$239.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$4,677.35
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$263.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$87.10
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$109.65
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$208.93
Health New England
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$4,677.35
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$302.00

Where Massachusetts 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.

Massachusetts $117 · 35th 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.