go back

Needle Biopsy Of The Testicle

Ohio 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?

$120

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $3,090 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 8 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$89.13$72.44 to $148
FacilityA hospital or hospital-owned outpatient department$3,090$1,698 to $6,457

How much rates vary

Facilitymedian $3,090 · 10th to 90th $245 to $10,965Professionalmedian $89 · 10th to 90th $66 to $1,950
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,090professional $89

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
$141.25
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,388.44
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$213.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$223.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$144.54

Where Ohio 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.

Ohio $120 · 30th 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.