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Needle Biopsy Of The Testicle

Rhode Island 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 physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $75.86 to $117.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,549 to $6,166Professionalmedian $91 · 10th to 90th $76 to $129
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,715professional $91

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. 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
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,073.80
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$144.54

Where Rhode Island 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.

Rhode Island $97.72 · 44th 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.