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Prostate Biopsy

Indiana 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?

$7,762

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $7,762 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $8,128 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 5 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$257$209 to $398
FacilityA hospital or hospital-owned outpatient department$8,128$5,012 to $9,550

How much rates vary

Facilitymedian $8,128 · 10th to 90th $2,344 to $10,471Professionalmedian $257 · 10th to 90th $132 to $537
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $8,128professional $257

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
$177.83
Median
$177.83
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$8,128.31
Typical High
$10,471.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$165.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$288.40
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$3,715.35
Typical High
$5,128.61

Where Indiana 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.

Indiana $7,762 · 1st 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.