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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.

How much does Open Biopsy of the Testicle cost?

$2,299

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

Insurers have agreed to pay about $2,299 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $2,042 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$234 to $398
Facility feeThe hospital or surgery center$2,042$1,259 to $3,467

How much rates vary

Facilitymedian $2,042 · 10th to 90th $676 to $5,248Professionalmedian $257 · 10th to 90th $209 to $1,175
$200$500$1K$2K$5K$10Kfacility $2,042professional $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
$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

Where Missouri 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

Missouri· 38th of 50

$2,299

$257 physician + $2,042 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.