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Open Biopsy of the Testicle

North Dakota 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?

$616

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

Insurers have agreed to pay about $616 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $209 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$407$219 to $457
Facility feeThe hospital or surgery center$209$209 to $1,995

How much rates vary

Facilitymedian $209 · 10th to 90th $191 to $8,511Professionalmedian $407 · 10th to 90th $209 to $537
$200$500$1K$2K$5Kfacility $209professional $407

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
$190.55
Median
$208.93
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$524.81

Where North Dakota 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 Dakota· 50th of 50

$616

$407 physician + $209 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.