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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.

Facilitymedian $3,162 · 10th–90th $398$10,7150%10%10th90th$3,162Professionalmedian $263 · 10th–90th $195$2,0890%20%10th90th$263$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$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