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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 October 2026.

How much does Prostate Biopsy cost?

$2,344

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $5,012 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$166 to $309
FacilityA hospital or hospital-owned outpatient department$5,012$2,138 to $7,244

How much rates vary

Facilitymedian $5,012 · 10th to 90th $631 to $9,550Professionalmedian $251 · 10th to 90th $132 to $437
$100$200$500$1K$2K$5K$10Kfacility $5,012professional $251

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$5,248.07
Typical High
$9,549.93
CareSource
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$1,995.26
CareSource
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$251.19
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$251.19
Typical High
$512.86
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$2,089.30
Typical High
$3,801.89
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$245.47
Typical High
$389.05

Where Indiana 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.

Indiana· 4th of 45

$2,344

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.