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Prostate Biopsy

Tennessee 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?

$1,995

Typical physician fee. In Tennessee, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $1,738 to $2,951.

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 $2,818 · 10th to 90th $1,122 to $28,840Professionalmedian $1,995 · 10th to 90th $1,738 to $1,995
$100.0$500.0$2.0K$10.0Kfacility $2,818professional $1,995

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
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$323.59
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,137.96
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Tennessee 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.

Tennessee $1,995 · 13th 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.