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Needle Biopsy Of The Testicle

Maryland 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?

$85.11

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $708 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$85.11$75.86 to $102
FacilityA hospital or hospital-owned outpatient department$708$158 to $1,259

How much rates vary

Facilitymedian $708 · 10th to 90th $158 to $5,888Professionalmedian $85 · 10th to 90th $66 to $224
$100$200$500$1K$2K$5Kfacility $708professional $85

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$165.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$107.15

Where Maryland 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.

Maryland· 50th of 51

$85.11

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.