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Open Biopsy of the Testicle

Colorado rates for HCPCS 54505

A small cut is made through the scrotum and the covering of the testicle so that a piece of tissue can be taken and examined under a microscope. Removing tissue directly gives the laboratory a larger, better-preserved sample than drawing cells through a needle. It is used to look into infertility or an abnormality found in the testicle.

Rates data updated July 2026.

How much does Open Biopsy of the Testicle cost?

$6,567

Typical total for the visit. In Colorado, July 2026.

Insurers have agreed to pay about $6,567 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $6,310 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$257$240 to $316
Facility feeThe hospital or surgery center$6,310$3,981 to $10,000

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,202 to $13,183Professionalmedian $257 · 10th to 90th $234 to $562
$200$500$1K$2K$5K$10K$20Kfacility $6,310professional $257

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
$1,202.26
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$426.58
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,096.48
Select Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$407.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$524.81

Where Colorado sits

The same service costs 16.6 times more in Indiana than in North Dakota. 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.

Physician feeFacility fee

Colorado· 6th of 50

$6,567

$257 physician + $6,310 facility

IN $10,245ND $616

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.