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Needle Biopsy Of The Testicle

Virginia 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?

$105

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $2,042 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 8 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$87.10$83.18 to $123
FacilityA hospital or hospital-owned outpatient department$2,042$112 to $5,248

How much rates vary

Facilitymedian $2,042 · 10th to 90th $85 to $7,079Professionalmedian $87 · 10th to 90th $72 to $2,042
$50.0$200.0$1.0K$5.0Kfacility $2,042professional $87

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
$85.11
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$169.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$158.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$3,630.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,388.44
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$154.88

Where Virginia 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.

Virginia $105 · 38th 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.