go back

Needle Biopsy Of The Testicle

West 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?

$85.11

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $75.86 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 4 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$75.86 to $85.11
FacilityA hospital or hospital-owned outpatient department$75.86$75.86 to $1,230

How much rates vary

Facilitymedian $76 · 10th to 90th $76 to $1,413Professionalmedian $85 · 10th to 90th $76 to $112
$100$200$500$1K$2K$5Kfacility $76professional $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
$75.86
Median
$75.86
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$131.83

Where West Virginia 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.

West Virginia· 49th of 51

$85.11

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.