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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.

How much does Open Biopsy of the Testicle cost?

$10,245

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

Insurers have agreed to pay about $10,245 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $10,000 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$245$209 to $324
Facility feeThe hospital or surgery center$10,000$4,898 to $15,136

How much rates vary

Facilitymedian $10,000 · 10th to 90th $1,660 to $17,783Professionalmedian $245 · 10th to 90th $204 to $447
$200$500$1K$2K$5K$10K$20Kfacility $10,000professional $245

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
$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

Where Indiana 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

Indiana· 1st of 50

$10,245

$245 physician + $10,000 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.