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Open Biopsy of the Testicle

Kentucky 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?

$2,318

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

Insurers have agreed to pay about $2,318 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $2,089 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$229$209 to $295
Facility feeThe hospital or surgery center$2,089$1,413 to $2,818

How much rates vary

Facilitymedian $2,089 · 10th to 90th $851 to $3,890Professionalmedian $229 · 10th to 90th $200 to $457
$200$500$1K$2K$5Kfacility $2,089professional $229

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
$199.53
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$323.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$316.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$398.11

Where Kentucky 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

Kentucky· 37th of 50

$2,318

$229 physician + $2,089 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.