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Open Biopsy of the Testicle

South Dakota 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 October 2026.

How much does Open Biopsy of the Testicle cost?

$1,950

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $1,950 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $1,514 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$437$309 to $490
Facility feeThe hospital or surgery center$1,514$324 to $1,820

How much rates vary

Facilitymedian $1,514 · 10th to 90th $295 to $2,291Professionalmedian $437 · 10th to 90th $219 to $589
$200$500$1K$2Kfacility $1,514professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$208.93
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$204.17
Typical High
$239.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$1,584.89
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$489.78
Typical High
$602.56
Medica
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$478.63
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$562.34
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$489.78
Typical High
$489.78
Midlands
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,584.89
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$346.74
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$524.81
Typical High
$588.84
Wellmark
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$467.74
Typical High
$467.74

Where South Dakota sits

The same service costs 9.6 times more in Colorado than in Montana. 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 Dakota· 35th of 51

$1,950

$437 physician + $1,514 facility

CO $6,197MT $647

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.