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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 July 2026.

How much does Prostate Biopsy cost?

$3,715

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $4,365 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 9 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$468$316 to $813
FacilityA hospital or hospital-owned outpatient department$4,365$3,311 to $5,754

How much rates vary

Facilitymedian $4,365 · 10th to 90th $851 to $7,079Professionalmedian $468 · 10th to 90th $209 to $1,202
$50.0$200.0$1.0K$5.0Kfacility $4,365professional $468

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,677.35
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$891.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$2,754.23
Typical High
$5,370.32
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$2,570.40
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
Network Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$3,890.45
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$812.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$478.63
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,495.41
Typical High
$5,495.41
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$1,230.27

Where Wisconsin 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.

Wisconsin $3,715 · 8th 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.