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Needle Biopsy Of The Testicle

Vermont 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 October 2026.

How much does Needle Biopsy Of The Testicle cost?

$123

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $95.50 to $148.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $309 to $2,818Professionalmedian $120 · 10th to 90th $83 to $174
$100$200$500$1K$2Kfacility $1,259professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$123.03
Typical High
$165.96
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$109.65
Typical High
$181.97

Where Vermont sits

The same service costs 11.2 times more in Tennessee than in New York. 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.

Vermont· 26th of 51

$123

TN $832NY $74.13

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.