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Needle Biopsy Of The Testicle

Missouri 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?

$813

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $2,042 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$91.20$83.18 to $148
FacilityA hospital or hospital-owned outpatient department$2,042$1,175 to $3,236

How much rates vary

Facilitymedian $2,042 · 10th to 90th $676 to $5,248Professionalmedian $91 · 10th to 90th $74 to $1,175
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,042professional $91

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
$812.83
Median
$2,511.89
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$239.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$1,174.90
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,290.87
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$181.97

Where Missouri 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.

Missouri $813 · 6th 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.