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Open Biopsy of the Testicle

North Carolina 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 $3,631 · 10th–90th $219$8,9130%5%10%10th90th$3,631Professionalmedian $263 · 10th–90th $204$6460%10%20%10th90th$263$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$331.13
Median
$4,466.84
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$691.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$478.63
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28