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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 July 2026.

How much does Open Biopsy of the Testicle cost?

$417

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

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $240 to $2,754.

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 $2,951 · 10th to 90th $240 to $7,762Professionalmedian $240 · 10th to 90th $224 to $417
$200$500$1K$2K$5K$10K$20Kfacility $2,951professional $240

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
$239.88
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$416.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$2,818.38
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$588.84

Where Washington, DC sits

The same service costs 14.1 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.

Washington, DC· 18th of 51

$417

CO $3,162DE $224

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.