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Prostate Biopsy

Wisconsin 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?

$1,318

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $3,090 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$363 to $955
FacilityA hospital or hospital-owned outpatient department$3,090$1,698 to $4,786

How much rates vary

Facilitymedian $3,090 · 10th to 90th $490 to $6,026Professionalmedian $513 · 10th to 90th $282 to $1,175
$200$500$1K$2K$5K$10Kfacility $3,090professional $513

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$4,265.80
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$724.44
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$467.74
Typical High
$891.25
DeanCare
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$3,162.28
Typical High
$5,888.44
DeanCare
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$426.58
Typical High
$812.83
Medica
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$2,187.76
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$812.83
Typical High
$1,318.26
Network Health
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,818.38
Typical High
$4,786.30
Network Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$501.19
Typical High
$812.83
Prevea360
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$257.04
Typical High
$575.44

Where Wisconsin 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.

Wisconsin· 11th of 45

$1,318

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.