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Open Biopsy of the Testicle

West 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 October 2026.

How much does Open Biopsy of the Testicle cost?

$1,708

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $1,708 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $1,413 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$295$209 to $550
Facility feeThe hospital or surgery center$1,413$1,230 to $2,455

How much rates vary

Facilitymedian $1,413 · 10th to 90th $398 to $4,677Professionalmedian $295 · 10th to 90th $178 to $631
$200$500$1K$2K$5K$10Kfacility $1,413professional $295

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
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$213.80
CareSource
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$398.11
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$323.59
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$257.04
Typical High
$549.54

Where West Virginia sits

The same service costs 9.6 times more in Colorado than in Montana. 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

West Virginia· 44th of 51

$1,708

$295 physician + $1,413 facility

CO $6,197MT $647

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.