go back

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.

How much does Open Biopsy of the Testicle cost?

$6,123

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,123 for this procedure. That total is two separate charges: $234 to the doctor who performs it, and $5,888 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$234$204 to $380
Facility feeThe hospital or surgery center$5,888$4,365 to $7,762

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,291 to $10,965Professionalmedian $234 · 10th to 90th $182 to $3,548
$200$500$1K$2K$5K$10Kfacility $5,888professional $234

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
$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

Where New Jersey 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

New Jersey· 7th of 50

$6,123

$234 physician + $5,888 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.