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Open Biopsy of the Testicle

Indiana 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 $10,000 · 10th–90th $1,660$17,7830%5%10%10th90th$10,000Professionalmedian $245 · 10th–90th $204$4470%20%10th90th$245$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$316.23
Median
$4,897.79
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$213.80
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$398.11