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Prostate Biopsy

Ohio 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?

$2,089

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $2,692 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 7 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$33.11$32.36 to $151
FacilityA hospital or hospital-owned outpatient department$2,692$1,479 to $3,631

How much rates vary

Facilitymedian $2,692 · 10th to 90th $912 to $7,943Professionalmedian $33 · 10th to 90th $32 to $295
$50$200$1K$5Kfacility $2,692professional $33

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
$1,000.00
Median
$2,818.38
Typical High
$7,943.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$165.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$398.11
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,511.89
Typical High
$11,220.18
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$338.84
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$61.66
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$2,884.03
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$2,041.74

Where Ohio 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.

Ohio· 12th of 50

$2,089

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.