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Open Biopsy of the Testicle

Massachusetts 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?

$2,514

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

Insurers have agreed to pay about $2,514 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $2,239 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$275$224 to $468
Facility feeThe hospital or surgery center$2,239$1,000 to $3,631

How much rates vary

Facilitymedian $2,239 · 10th to 90th $214 to $5,754Professionalmedian $275 · 10th to 90th $200 to $692
$1$10$100$1K$10Kfacility $2,239professional $275

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
$338.84
Median
$2,238.72
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$1,148.15
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$5,370.32
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$575.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$251.19
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$316.23
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$354.81
Typical High
$602.56
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$5,370.32
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$794.33

Where Massachusetts 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

Massachusetts· 34th of 50

$2,514

$275 physician + $2,239 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.