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Prostate Biopsy

Iowa 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?

$417

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $363 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$427$316 to $646
FacilityA hospital or hospital-owned outpatient department$363$174 to $1,820

How much rates vary

Facilitymedian $363 · 10th to 90th $174 to $5,248Professionalmedian $427 · 10th to 90th $263 to $776
$200$500$1K$2K$5Kfacility $363professional $427

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$389.05
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$645.65
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$676.08
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Iowa 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.

Iowa· 31st of 50

$417

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.