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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 July 2026.

How much does Open Biopsy of the Testicle cost?

$936

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

Insurers have agreed to pay about $936 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $589 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$347$219 to $490
Facility feeThe hospital or surgery center$589$295 to $2,692

How much rates vary

Facilitymedian $589 · 10th to 90th $251 to $4,365Professionalmedian $347 · 10th to 90th $178 to $603
$200$500$1K$2K$5Kfacility $589professional $347

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
$208.93
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$190.55
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$489.78
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$588.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$588.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$467.74

Where South Dakota 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 Dakota· 47th of 50

$936

$347 physician + $589 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.