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Prostate Biopsy

New York 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?

$3,890

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $4,677 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 6 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$363$302 to $479
FacilityA hospital or hospital-owned outpatient department$4,677$3,311 to $6,026

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,570 to $9,120Professionalmedian $363 · 10th to 90th $219 to $646
$100.0$500.0$2.0K$10.0K$50.0Kfacility $4,677professional $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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$354.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$512.86
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$707.95
Univera
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$426.58
Univera
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$512.86

Where New York 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.

New York $3,890 · 6th 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.