go back

Open Biopsy of the Testicle

Idaho 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?

$4,776

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

Insurers have agreed to pay about $4,776 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $4,467 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$309$240 to $407
Facility feeThe hospital or surgery center$4,467$537 to $7,079

How much rates vary

Facilitymedian $4,467 · 10th to 90th $288 to $9,120Professionalmedian $309 · 10th to 90th $219 to $427
$200$500$1K$2K$5K$10Kfacility $4,467professional $309

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,168.69
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$537.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$7,762.47
Typical High
$11,481.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$407.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$4,365.16
Typical High
$7,244.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$426.58

Where Idaho 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

Idaho· 14th of 50

$4,776

$309 physician + $4,467 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.