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Prostate Biopsy

Connecticut 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?

$4,169

Typical facility fee. In Connecticut, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $490 to $4,365.

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 $4,169 · 10th to 90th $3,548 to $12,023Professionalmedian $398 · 10th to 90th $251 to $490
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,169professional $398

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$12,022.64
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$3,890.45
Health New England
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$275.42
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$489.78

Where Connecticut 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.

Connecticut $4,169 · 4th 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.