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Needle Biopsy Of The Testicle

New Mexico 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 October 2026.

How much does Needle Biopsy Of The Testicle cost?

$115

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $1,288 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$81.28 to $126
FacilityA hospital or hospital-owned outpatient department$1,288$631 to $1,995

How much rates vary

Facilitymedian $1,288 · 10th to 90th $158 to $3,715Professionalmedian $105 · 10th to 90th $33 to $141
$20$100$500$2K$10Kfacility $1,288professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$72.44
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,445.44
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$97.72
Typical High
$141.25
Molina
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$33.11
Typical High
$107.15
Providence
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$1,288.25
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$109.65
Typical High
$141.25
United
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,174.90
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$107.15
Typical High
$169.82

Where New Mexico sits

The same service costs 11.2 times more in Tennessee than in New York. 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.

New Mexico· 32nd of 51

$115

TN $832NY $74.13

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.