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Prostate Biopsy

West 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 rates vary

Facilitymedian $166 · 10th to 90th $123 to $174Professionalmedian $219 · 10th to 90th $148 to $355
$200.0facility $166professional $219

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
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$354.81