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Open Biopsy of the Testicle

Hawaii 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?

$1,413

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $363 to $3,090.

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 $2,884 · 10th to 90th $871 to $2,884Professionalmedian $1,413 · 10th to 90th $214 to $3,981
$50$100$200$500$1K$2K$5Kfacility $2,884professional $1,413

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$309.03
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$1,548.82
Typical High
$3,981.07

Where Hawaii 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.

Hawaii· 4th of 51

$1,413

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.