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Needle Biopsy Of The Testicle

Texas 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?

$575

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $2,512 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 10 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$85.11$74.13 to $110
FacilityA hospital or hospital-owned outpatient department$2,512$1,122 to $4,365

How much rates vary

Facilitymedian $2,512 · 10th to 90th $155 to $7,079Professionalmedian $85 · 10th to 90th $68 to $200
$50.0$200.0$1.0K$5.0Kfacility $2,512professional $85

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
$537.03
Median
$2,290.87
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,715.35
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$79.43
Christus
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$181.97
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$19,498.45
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$173.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$107.15
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$58.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,290.87
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$89.13

Where Texas 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.

Texas $575 · 7th 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.