go back

Open Biopsy of the Testicle

South Carolina 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?

$5,893

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $5,893 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $5,623 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$269$219 to $309
Facility feeThe hospital or surgery center$5,623$2,138 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $269 to $17,783Professionalmedian $269 · 10th to 90th $204 to $575
$50$200$1K$5K$20Kfacility $5,623professional $269

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
$269.15
Median
$5,888.44
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,165.95
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$537.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$10,715.19
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$426.58

Where South Carolina 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

South Carolina· 9th of 50

$5,893

$269 physician + $5,623 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.