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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 July 2026.

How much does Prostate Biopsy cost?

$2,291

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $2,291 for this service. Most negotiated rates run $1,585 to $3,548.

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.

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,259 to $4,365Professionalmedian $214 · 10th to 90th $33 to $309
$50$100$200$500$1K$2K$5Kfacility $2,344professional $214

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
$239.88
Median
$239.88
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$194.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$478.63

Where Kentucky 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.

Kentucky· 11th of 50

$2,291

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.