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Open Biopsy of the Testicle

Delaware 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?

$3,460

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

Insurers have agreed to pay about $3,460 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $3,236 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$224$214 to $309
Facility feeThe hospital or surgery center$3,236$3,236 to $7,244

How much rates vary

Facilitymedian $3,236 · 10th to 90th $219 to $7,586Professionalmedian $224 · 10th to 90th $186 to $550
$200$500$1K$2K$5Kfacility $3,236professional $224

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. 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
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$371.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$380.19

Where Delaware 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

Delaware· 23rd of 50

$3,460

$224 physician + $3,236 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.