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Open Biopsy of the Testicle

Missouri 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.

Facilitymedian $2,042 · 10th–90th $676$5,2480%5%10th90th$2,042Professionalmedian $257 · 10th–90th $209$1,1750%10%20%10th90th$257$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,511.89
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$1,659.59
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$512.86