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Prostate Biopsy

Pennsylvania 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?

$234

Typical physician fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $219 to $302.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $126 to $302Professionalmedian $234 · 10th to 90th $126 to $302
$100$200$500facility $234professional $234

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
Geisinger
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$251.19
Typical High
$371.54
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$223.87
Typical High
$524.81
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$234.42
Typical High
$302.00
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$234.42
Typical High
$302.00

Where Pennsylvania 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.

Pennsylvania· 42nd of 45

$234

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.