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Needle Biopsy Of The Testicle

Tennessee 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?

$117

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $2,399 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 5 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$100$75.86 to $117
FacilityA hospital or hospital-owned outpatient department$2,399$1,349 to $3,981

How much rates vary

Facilitymedian $2,399 · 10th to 90th $603 to $5,888Professionalmedian $100 · 10th to 90th $72 to $282
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $100

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
$467.74
Median
$1,819.70
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,073.80
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$169.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,187.76
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$165.96

Where Tennessee sits

The same service costs 40.7 times more in Colorado than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 34th of 51

$117

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.