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Open Biopsy of the Testicle

Illinois 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?

$2,125

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

Insurers have agreed to pay about $2,125 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $1,862 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$263$214 to $372
Facility feeThe hospital or surgery center$1,862$977 to $3,981

How much rates vary

Facilitymedian $1,862 · 10th to 90th $398 to $5,888Professionalmedian $263 · 10th to 90th $204 to $513
$200$500$1K$2K$5K$10Kfacility $1,862professional $263

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
$398.11
Median
$1,548.82
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,786.30
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$1,096.48
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$467.74

Where Illinois 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

Illinois· 40th of 50

$2,125

$263 physician + $1,862 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.