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Open Biopsy of the Testicle

Utah 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?

$4,263

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

Insurers have agreed to pay about $4,263 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $3,981 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$282$229 to $417
Facility feeThe hospital or surgery center$3,981$3,020 to $4,467

How much rates vary

Facilitymedian $3,981 · 10th to 90th $282 to $6,026Professionalmedian $282 · 10th to 90th $204 to $562
$50$200$1K$5Kfacility $3,981professional $282

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
$281.84
Median
$3,388.44
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,760.83
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$346.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$407.38
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$436.52

Where Utah 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

Utah· 18th of 50

$4,263

$282 physician + $3,981 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.