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Prostate Biopsy

Massachusetts 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?

$1,738

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $4,365 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$427 to $1,738
FacilityA hospital or hospital-owned outpatient department$4,365$2,399 to $5,495

How much rates vary

Facilitymedian $4,365 · 10th to 90th $977 to $28,840Professionalmedian $1,738 · 10th to 90th $316 to $1,738
$100$500$2K$10Kfacility $4,365professional $1,738

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$28,840.32
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Health New England
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,890.45
Typical High
$5,248.07
Health New England
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$275.42
Typical High
$436.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$28,840.32
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,691.53
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$489.78

Where Massachusetts 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.

Massachusetts· 17th of 50

$1,738

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.