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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 July 2026.

How much does Prostate Biopsy cost?

$1,995

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $5,495 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$123 to $1,995
FacilityA hospital or hospital-owned outpatient department$5,495$2,042 to $28,840

How much rates vary

Facilitymedian $5,495 · 10th to 90th $977 to $28,840Professionalmedian $1,738 · 10th to 90th $32 to $1,995
$50.0$200.0$1.0K$5.0K$20.0Kfacility $5,495professional $1,738

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
$123.03
Median
$223.87
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$602.56
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$28,840.32
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$177.83
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,677.35
Typical High
$4,677.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$416.87
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,659.59
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$2,089.30
Typical High
$4,677.35

Where Texas 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.

Texas $1,995 · 14th 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.