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Prostate Biopsy

Texas 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?

$1,738

Typical physician fee. In Texas, October 2026.

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

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 $1,175 · 10th to 90th $794 to $4,677Professionalmedian $1,738 · 10th to 90th $1,738 to $1,738
$500$1K$2K$5Kfacility $1,175professional $1,738

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
Professional
Modifier
None
Typical Low
$245.47
Median
$309.03
Typical High
$602.56
Health Smart
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$4,677.35
Providence
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$416.87
Typical High
$741.31

Where Texas 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.

Texas· 7th of 45

$1,738

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.