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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 October 2026.

How much does Prostate Biopsy cost?

$525

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $447 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$309 to $676
FacilityA hospital or hospital-owned outpatient department$447$295 to $1,175

How much rates vary

Facilitymedian $447 · 10th to 90th $182 to $1,698Professionalmedian $525 · 10th to 90th $269 to $708
$100$200$500$1K$2K$5Kfacility $447professional $525

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$416.87
Typical High
$707.95
Medica
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$346.74
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$676.08
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$575.44
Midlands
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$954.99
Typical High
$1,380.38
Midlands
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$512.86

Where South Dakota 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.

South Dakota· 25th of 45

$525

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.