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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 October 2026.

How much does Open Biopsy of the Testicle cost?

$2,694

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

Insurers have agreed to pay about $2,694 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $2,399 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$295$240 to $355
Facility feeThe hospital or surgery center$2,399$1,349 to $7,586

How much rates vary

Facilitymedian $2,399 · 10th to 90th $646 to $11,220Professionalmedian $295 · 10th to 90th $170 to $398
$50$200$1K$5Kfacility $2,399professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$309.03
Typical High
$354.81
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$8,511.38
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,995.26
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$275.42
Typical High
$398.11
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$60.26
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$1,288.25
Typical High
$2,884.03
Providence
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$309.03
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$302.00
Typical High
$478.63

Where New Mexico sits

The same service costs 9.6 times more in Colorado than in Montana. 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· 20th of 51

$2,694

$295 physician + $2,399 facility

CO $6,197MT $647

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.