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Open Biopsy of the Testicle

Michigan 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?

$3,141

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

Insurers have agreed to pay about $3,141 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $2,884 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$257$214 to $282
Facility feeThe hospital or surgery center$2,884$2,042 to $4,898

How much rates vary

Facilitymedian $2,884 · 10th to 90th $447 to $6,918Professionalmedian $257 · 10th to 90th $191 to $447
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,884professional $257

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
$263.03
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$676.08
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$346.74
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,011.87
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$354.81

Where Michigan sits

The same service costs 16.6 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMichigan $3,141 · 29th of 50
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.