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Open Biopsy of the Testicle

Montana 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?

$658

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

Insurers have agreed to pay about $658 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $363 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$295$219 to $363
Facility feeThe hospital or surgery center$363$355 to $407

How much rates vary

Facilitymedian $363 · 10th to 90th $355 to $10,000Professionalmedian $295 · 10th to 90th $204 to $741
$100$1K$10K$100Kfacility $363professional $295

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
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$346.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$436.52
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$436.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$407.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$245.47
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$524.81

Where Montana 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

Montana· 49th of 50

$658

$295 physician + $363 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.