go back

Open Biopsy of the Testicle

Connecticut 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?

$5,335

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

Insurers have agreed to pay about $5,335 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $5,012 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$324$245 to $479
Facility feeThe hospital or surgery center$5,012$3,802 to $7,943

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,754 to $11,482Professionalmedian $324 · 10th to 90th $209 to $562
$200$500$1K$2K$5K$10Kfacility $5,012professional $324

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
$2,511.89
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$416.87
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$588.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$346.74
Health New England
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Health New England
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$549.54

Where Connecticut 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

Connecticut· 10th of 50

$5,335

$324 physician + $5,012 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.