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Prostate Biopsy

Virginia 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?

$3,631

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $2,455 to $4,074.

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 $3,981 · 10th to 90th $1,905 to $4,571Professionalmedian $339 · 10th to 90th $245 to $631
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,981professional $339

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Virginia 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.

Virginia $3,631 · 9th 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.