go back

Open Biopsy of the Testicle

Rhode Island 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?

$263

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $214 to $331.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,089 to $11,220Professionalmedian $240 · 10th to 90th $204 to $363
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,571professional $240

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,981.07
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$213.80
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$407.38

Where Rhode Island sits

The same service costs 14.1 times more in Colorado than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $263 · 48th of 51
CO $3,162DE $224

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.