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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 October 2026.

How much does Prostate Biopsy cost?

$490

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $646 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$427$339 to $676
FacilityA hospital or hospital-owned outpatient department$646$389 to $2,291

How much rates vary

Facilitymedian $646 · 10th to 90th $174 to $5,129Professionalmedian $427 · 10th to 90th $282 to $955
$200$500$1K$2K$5K$10Kfacility $646professional $427

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$562.34
Typical High
$707.95
Hally Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$338.84
Typical High
$602.56
Medica
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$724.44
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$489.78
Typical High
$954.99
Midlands
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$575.44
Typical High
$776.25
Midlands
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$398.11
Typical High
$758.58
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78

Where Iowa 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.

Iowa· 30th of 45

$490

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.