Many tissue samples are systematically taken from the prostate gland through the perineum, the area between the scrotum and the rectum, using a guiding template and imaging guidance to map out where each sample is taken from. This more thorough, mapped sampling approach is used when a broader picture of the prostate tissue is needed.
Rates data updated October 2026.
How much does Extensive Guided Prostate Biopsy cost?
$437
Typical physician fee. In Maryland, October 2026.
Insurers have agreed to pay about $437 for this service. Most negotiated rates run $372 to $759.
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.
How much rates vary
Facilitymedian $1,230 · 10th to 90th $479 to $2,692Professionalmedian $407 · 10th to 90th $245 to $741
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$426.58
Typical High
$537.03
Professional
None
$389.05
$426.58
$537.03
CareFirst
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$407.38
Typical High
$407.38
Professional
None
$371.54
$407.38
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$1,778.28
Typical High
$2,818.38
Facility
None
$512.86
$1,778.28
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$436.52
Typical High
$1,148.15
Professional
None
$371.54
$436.52
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$245.47
Typical High
$645.65
Professional
None
$213.80
$245.47
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$1,380.38
Facility
None
$407.38
$645.65
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$501.19
Typical High
$977.24
Professional
None
$331.13
$501.19
$977.24
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$323.59
Professional
None
$213.80
$213.80
$323.59
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$288.40
Median
$295.12
Typical High
$323.59
Professional
54 · Surgery only
$288.40
$295.12
$323.59
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$269.15
Median
$275.42
Typical High
$302.00
Professional
78 · Unplanned return to OR
$269.15
$275.42
$302.00
Where Maryland sits
The same service costs 4.2 times more in Alaska than in Utah. 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.