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Prostate Biopsy

Missouri 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?

$490

Typical physician fee. In Missouri, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $269 to $1,698.

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.

How much rates vary

Facilitymedian $759 · 10th to 90th $195 to $5,129Professionalmedian $363 · 10th to 90th $234 to $1,778
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $759professional $363

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
$117.49
Median
$162.18
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$446.68
Typical High
$16,218.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,122.02
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Missouri 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.

Missouri $490 · 27th 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.