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Needle Biopsy Of The Testicle

Pennsylvania 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?

$100

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $2,692 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$75.86$67.61 to $95.50
FacilityA hospital or hospital-owned outpatient department$2,692$1,514 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $661 to $8,318Professionalmedian $76 · 10th to 90th $66 to $224
$100.0$1.0K$10.0Kfacility $2,692professional $76

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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$398.11
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$158.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$112.20
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$147.91
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$288.40
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,288.25
Typical High
$2,238.72
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,951.21
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$165.96

Where Pennsylvania 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.

Pennsylvania $100 · 41st 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.