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Open Biopsy of the Testicle

New Jersey 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 $5,888 · 10th–90th $2,291$10,9650%10%10th90th$5,888Professionalmedian $234 · 10th–90th $182$3,5480%20%10th90th$234$100.0$500.0$2.0K$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
$2,290.87
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$363.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,220.18
Typical High
$17,378.01
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$416.87