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Open Biopsy of the Testicle

New Mexico 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?

$1,295

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

Insurers have agreed to pay about $1,295 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $1,000 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$295$195 to $355
Facility feeThe hospital or surgery center$1,000$316 to $6,166

How much rates vary

Facilitymedian $1,000 · 10th to 90th $269 to $7,762Professionalmedian $295 · 10th to 90th $195 to $1,148
$50$200$1K$5Kfacility $1,000professional $295

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
$302.00
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$478.63

Where New Mexico 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 Mexico· 45th of 50

$1,295

$295 physician + $1,000 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.