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Extensive Guided Prostate Biopsy

Pennsylvania rates for HCPCS 55706

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 July 2026.

How much does Extensive Guided Prostate Biopsy cost?

$4,279

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,279 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $3,890 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$389$347 to $501
Facility feeThe hospital or surgery center$3,890$1,660 to $5,012

How much rates vary

Facilitymedian $3,890 · 10th to 90th $646 to $8,128Professionalmedian $389 · 10th to 90th $324 to $813
$500$1K$2K$5K$10Kfacility $3,890professional $389

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$812.83
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$478.63
Typical High
$724.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$588.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$7,762.47
Typical High
$11,748.98
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$9,549.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$1,659.59
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$398.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,698.24
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,951.21
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$741.31

Where Pennsylvania sits

The same service costs 7.7 times more in Delaware than in Montana. 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.

Physician feeFacility fee

Pennsylvania· 23rd of 50

$4,279

$389 physician + $3,890 facility

DE $9,518MT $1,234

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.