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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.

How much does Open Biopsy of the Testicle cost?

$2,876

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

Insurers have agreed to pay about $2,876 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $2,630 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$245$234 to $355
Facility feeThe hospital or surgery center$2,630$316 to $5,754

How much rates vary

Facilitymedian $2,630 · 10th to 90th $240 to $8,710Professionalmedian $245 · 10th to 90th $204 to $2,042
$200$500$1K$2K$5K$10Kfacility $2,630professional $245

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
$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

Where Virginia 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

Virginia· 32nd of 50

$2,876

$245 physician + $2,630 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.