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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.

Facilitymedian $1,862 · 10th–90th $398$5,8880%5%10th90th$1,862Professionalmedian $263 · 10th–90th $204$5130%10%10th90th$263$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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