go back

Needle Biopsy Of The Testicle

New York 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?

$219

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $4,571 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 9 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$93.33$74.13 to $135
FacilityA hospital or hospital-owned outpatient department$4,571$2,630 to $7,413

How much rates vary

Facilitymedian $4,571 · 10th to 90th $115 to $10,965Professionalmedian $93 · 10th to 90th $65 to $257
$100.0$1.0K$10.0K$100.0Kfacility $4,571professional $93

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
$95.50
Median
$3,090.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$190.55
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$158.49
Typical High
$407.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$257.04
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$141.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$169.82
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,630.78
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$263.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$245.47
Univera
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$190.55

Where New York 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 York $219 · 11th 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.