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Open Biopsy of the Testicle

Maine 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?

$282

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $282 for this service. Most negotiated rates run $240 to $347.

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.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $7,244 to $7,244Professionalmedian $282 · 10th to 90th $209 to $398
$200$500$1K$2K$5Kfacility $7,244professional $282

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$467.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$478.63
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$537.03

Where Maine sits

The same service costs 14.1 times more in Colorado than in Delaware. 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.

Maine· 44th of 51

$282

CO $3,162DE $224

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.