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Prostate Biopsy

South Dakota 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?

$372

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $372 for this service. Most negotiated rates run $295 to $575.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $324 · 10th to 90th $148 to $1,738Professionalmedian $407 · 10th to 90th $295 to $708
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $324professional $407

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
Avera
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$363.08
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$478.63
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$512.86

Where South Dakota 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.

South Dakota $372 · 35th 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.