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Prostate Biopsy

Washington 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?

$331

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $794 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$178 to $331
FacilityA hospital or hospital-owned outpatient department$794$479 to $1,122

How much rates vary

Facilitymedian $794 · 10th to 90th $389 to $1,413Professionalmedian $331 · 10th to 90th $178 to $724
$100$200$500$1K$2Kfacility $794professional $331

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
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$630.96
Typical High
$1,148.15
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$316.23
Typical High
$602.56
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$446.68
Typical High
$489.78
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$1,000.00
Typical High
$1,659.59
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$331.13

Where Washington 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.

Washington· 33rd of 45

$331

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.