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Open Biopsy of the Testicle

New York 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 $4,571 · 10th–90th $324$10,9650%5%10%10th90th$4,571Professionalmedian $269 · 10th–90th $174$6610%10%10th90th$269$100.0$500.0$2.0K$10.0K$50.0K

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
$269.15
Median
$3,090.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$537.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$416.87
Typical High
$977.24
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$660.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$389.05
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$524.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,570.88
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$676.08
Univera
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$660.69