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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 October 2026.

How much does Prostate Biopsy cost?

$1,000

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $603 to $2,188.

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.

How much rates vary

Facilitymedian $1,148 · 10th to 90th $525 to $4,467Professionalmedian $288 · 10th to 90th $204 to $457
$100$200$500$1K$2K$5K$10Kfacility $1,148professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$1,148.15
Typical High
$4,466.84
CareSource
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$933.25
Typical High
$1,202.26
CareSource
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$281.84
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$208.93
Typical High
$380.19
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$346.74
Typical High
$346.74
SummaCare
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$457.09

Where Ohio sits

The same service costs 45.7 times more in Colorado 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· 13th of 45

$1,000

CO $5,248NM $115

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.