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Needle Biopsy Of The Testicle

South Carolina 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?

$95.50

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 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 6 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$95.50$75.86 to $95.50
FacilityA hospital or hospital-owned outpatient department$4,571$977 to $7,762

How much rates vary

Facilitymedian $4,571 · 10th to 90th $95 to $16,596Professionalmedian $95 · 10th to 90th $72 to $158
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,571professional $95

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
$5,888.44
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,548.13
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,513.56
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$213.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,309.57
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$158.49

Where South Carolina 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.

South Carolina $95.50 · 47th 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.