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Open Biopsy of the Testicle

Kansas 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?

$3,451

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

Insurers have agreed to pay about $3,451 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $3,162 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$257 to $331
Facility feeThe hospital or surgery center$3,162$1,479 to $5,495

How much rates vary

Facilitymedian $3,162 · 10th to 90th $490 to $7,943Professionalmedian $288 · 10th to 90th $214 to $398
$200$500$1K$2K$5K$10Kfacility $3,162professional $288

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
$1,348.96
Median
$3,548.13
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$954.99
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$2,630.27
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$398.11

Where Kansas 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

Kansas· 24th of 50

$3,451

$288 physician + $3,162 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.