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Open Biopsy of the Testicle

Virginia 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.

Facilitymedian $2,630 · 10th–90th $240$8,7100%5%10th90th$2,630Professionalmedian $245 · 10th–90th $204$2,0420%20%10th90th$245$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$380.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$489.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$457.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$426.58