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Needle Biopsy Of The Testicle

South Dakota 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?

$129

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $200 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 7 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$129$81.28 to $170
FacilityA hospital or hospital-owned outpatient department$200$105 to $2,291

How much rates vary

Facilitymedian $200 · 10th to 90th $89 to $4,365Professionalmedian $129 · 10th to 90th $62 to $214
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $200professional $129

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
$74.13
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$131.83
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$162.18
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$208.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$158.49
Typical High
$165.96

Where South Dakota 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 Dakota $129 · 27th 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.