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Open Biopsy of the Testicle

Vermont 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 October 2026.

How much does Open Biopsy of the Testicle cost?

$331

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $269 to $355.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $309 to $3,802Professionalmedian $309 · 10th to 90th $214 to $479
$200$500$1K$2Kfacility $1,698professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$346.74
Typical High
$354.81
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$309.03
Typical High
$512.86

Where Vermont sits

The same service costs 8.9 times more in Oklahoma than in New York. 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.

Vermont· 29th of 51

$331

OK $1,778NY $200

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.