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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.

How much does Open Biopsy of the Testicle cost?

$3,894

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,894 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $3,631 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$263$229 to $417
Facility feeThe hospital or surgery center$3,631$363 to $6,026

How much rates vary

Facilitymedian $3,631 · 10th to 90th $219 to $8,913Professionalmedian $263 · 10th to 90th $204 to $646
$200$500$1K$2K$5K$10Kfacility $3,631professional $263

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
$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

Where North Carolina 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

North Carolina· 21st of 50

$3,894

$263 physician + $3,631 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.