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Open Biopsy of the Testicle

Ohio 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?

$3,425

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $3,425 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $3,162 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$263$214 to $407
Facility feeThe hospital or surgery center$3,162$1,698 to $6,607

How much rates vary

Facilitymedian $3,162 · 10th to 90th $398 to $10,715Professionalmedian $263 · 10th to 90th $195 to $2,089
$50$200$1K$5Kfacility $3,162professional $263

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
$338.84
Median
$3,162.28
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,388.44
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$416.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$389.05

Where Ohio 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

Ohio· 25th of 50

$3,425

$263 physician + $3,162 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.