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Open Biopsy of the Testicle

Texas 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?

$3,191

Typical total for the visit. In Texas, July 2026.

Insurers have agreed to pay about $3,191 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $2,951 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$240$209 to $309
Facility feeThe hospital or surgery center$2,951$1,288 to $5,129

How much rates vary

Facilitymedian $2,951 · 10th to 90th $427 to $8,710Professionalmedian $240 · 10th to 90th $195 to $437
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,951professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,290.87
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,786.30
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$331.13
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$2,754.23
Typical High
$7,585.78
Christus
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$446.68
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$19,498.45
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,467.37
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$371.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$186.21
Typical High
$257.04

Where Texas sits

The same service costs 16.6 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeTexas $3,191 · 27th of 50
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.