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Prostate Biopsy

Kentucky 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?

$1,072

Typical facility fee. In Kentucky, October 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $229 to $2,188.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,995 · 10th to 90th $661 to $4,266Professionalmedian $214 · 10th to 90th $151 to $302
$100$200$500$1K$2K$5Kfacility $1,995professional $214

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
$724.44
Median
$1,995.26
Typical High
$4,265.80
CareSource
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$165.96
Typical High
$1,621.81
CareSource
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$213.80
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$263.03
Typical High
$288.40

Where Kentucky 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.

Kentucky· 12th of 45

$1,072

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.