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Prostate Biopsy

Nebraska 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?

$457

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $457 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 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$457$331 to $575
FacilityA hospital or hospital-owned outpatient department$457$214 to $3,020

How much rates vary

Facilitymedian $457 · 10th to 90th $178 to $7,762Professionalmedian $457 · 10th to 90th $282 to $759
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $457professional $457

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$457.09
Typical High
$4,570.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$537.03
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$15,848.93
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$3,467.37

Where Nebraska 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.

Nebraska $457 · 29th 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.