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Prostate Biopsy

Georgia 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?

$3,020

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $3,020 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 6 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$309$234 to $646
FacilityA hospital or hospital-owned outpatient department$3,020$1,622 to $4,571

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,000 to $6,166Professionalmedian $309 · 10th to 90th $158 to $1,349
$200$500$1K$2K$5K$10Kfacility $3,020professional $309

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
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$6,760.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$302.00
Median
$302.00
Typical High
$562.34
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,365.16
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,454.71
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$645.65
Typical High
$645.65

Where Georgia sits

The same service costs 234.4 times more in Indiana 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.

Georgia· 10th of 50

$3,020

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.