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Needle Biopsy Of The Testicle

Montana 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?

$129

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $129 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$129$110 to $151
FacilityA hospital or hospital-owned outpatient department$129$126 to $132

How much rates vary

Facilitymedian $129 · 10th to 90th $117 to $155Professionalmedian $129 · 10th to 90th $78 to $398
$100$200$500$1K$2K$5Kfacility $129professional $129

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$128.82
Typical High
$154.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$128.82
Typical High
$154.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$181.97

Where Montana 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.

Montana· 26th of 51

$129

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.