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Needle Biopsy Of The Testicle

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $5,888 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$83.18$70.79 to $132
FacilityA hospital or hospital-owned outpatient department$5,888$4,365 to $8,511

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,291 to $10,715Professionalmedian $83 · 10th to 90th $65 to $4,266
$50.0$200.0$1.0K$5.0K$20.0Kfacility $5,888professional $83

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
$2,290.87
Median
$5,888.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$125.89
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,232.93
Typical High
$13,182.57
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$147.91

Where New Jersey 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.

New Jersey $97.72 · 43rd 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.