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Needle Biopsy Of The Testicle

North Carolina 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?

$97.72

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $933 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$95.50$79.43 to $145
FacilityA hospital or hospital-owned outpatient department$933$117 to $4,898

How much rates vary

Facilitymedian $933 · 10th to 90th $72 to $7,079Professionalmedian $95 · 10th to 90th $72 to $240
$100$200$500$1K$2K$5K$10Kfacility $933professional $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
$72.44
Median
$1,380.38
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$194.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$169.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$1,698.24

Where North Carolina 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.

North Carolina· 45th of 51

$97.72

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.