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Open Biopsy of the Testicle

Iowa 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?

$4,149

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

Insurers have agreed to pay about $4,149 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $3,802 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$295 to $562
Facility feeThe hospital or surgery center$3,802$2,239 to $6,607

How much rates vary

Facilitymedian $3,802 · 10th to 90th $490 to $8,318Professionalmedian $347 · 10th to 90th $195 to $1,288
$200$500$1K$2K$5K$10Kfacility $3,802professional $347

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
$1,288.25
Median
$3,801.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$602.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$380.19
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$3,162.28
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$457.09

Where Iowa 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

Iowa· 20th of 50

$4,149

$347 physician + $3,802 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.