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Prostate Biopsy

California rates for HCPCS 55700

Takes small samples of tissue from the prostate with a needle so they can be examined under a microscope. Several samples are usually taken during the same visit. It is done when a blood test or a physical examination suggests a possible problem in the prostate.

Rates data updated October 2026.

How much does Prostate Biopsy cost?

$501

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $355 to $933.

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.

How much rates vary

Facilitymedian $501 · 10th to 90th $331 to $4,467Professionalmedian $1,738 · 10th to 90th $257 to $1,738
$500$1K$2K$5K$10Kfacility $501professional $1,738

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

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$6,456.54
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$302.00
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$575.44
Typical High
$1,288.25
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$416.87
Typical High
$645.65
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$501.19
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$302.00
Typical High
$549.54

Where California sits

The same service costs 45.7 times more in Colorado than in New Mexico. 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.

California· 29th of 45

$501

CO $5,248NM $115

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.