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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 July 2026.

How much does Prostate Biopsy cost?

$5,888

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,888 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $5,888 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$417 to $1,995
FacilityA hospital or hospital-owned outpatient department$5,888$4,074 to $8,511

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,631 to $13,804Professionalmedian $1,738 · 10th to 90th $275 to $1,995
$100.0$500.0$2.0K$10.0Kfacility $5,888professional $1,738

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
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$575.44
Typical High
$1,318.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$645.65
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$12,022.64
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$478.63

Where California sits

The same service costs 234.4 times more in Indiana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $5,888 · 3rd of 50
IN $7,762NM $33.11

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.