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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 July 2026.

How much does Prostate Biopsy cost?

$331

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $355 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 6 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$324$245 to $490
FacilityA hospital or hospital-owned outpatient department$355$275 to $550

How much rates vary

Facilitymedian $355 · 10th to 90th $204 to $1,820Professionalmedian $324 · 10th to 90th $178 to $603
$10.0$100.0$1.0K$10.0Kfacility $355professional $324

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
22 · Increased work
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$81.28
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$478.63
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$331.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11

Where Washington 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.

Washington $331 · 40th 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.