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Open Biopsy of the Testicle

Washington, DC 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 October 2026.

How much does Open Biopsy of the Testicle cost?

$257

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $229 to $759.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,754 · 10th to 90th $589 to $19,953Professionalmedian $240 · 10th to 90th $204 to $1,072
$200$500$1K$2K$5K$10K$20Kfacility $2,754professional $240

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
Facility
Modifier
None
Typical Low
$239.88
Median
$1,698.24
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$239.88
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$229.09
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$263.03
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$213.80
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,754.40
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$281.84
Typical High
$630.96

Where Washington, DC sits

The same service costs 8.9 times more in Oklahoma 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.

Washington, DC· 47th of 51

$257

OK $1,778NY $200

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.