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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 October 2026.

How much does Open Biopsy of the Testicle cost?

$647

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

Insurers have agreed to pay about $647 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $331 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$214 to $331
Facility feeThe hospital or surgery center$331$331 to $389

How much rates vary

Facilitymedian $331 · 10th to 90th $302 to $2,754Professionalmedian $316 · 10th to 90th $79 to $372
$100$200$500$1K$2K$5Kfacility $331professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$239.88
Typical High
$416.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$2,754.23
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$331.13
Typical High
$380.19
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$331.13
Typical High
$354.81
Providence
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$2,754.23
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$281.84
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$354.81
Typical High
$501.19

Where Montana sits

The same service costs 9.6 times more in Colorado than in Montana. 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· 51st of 51

$647

$316 physician + $331 facility

CO $6,197MT $647

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.