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Extensive Guided Prostate Biopsy

West Virginia 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?

$5,114

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $5,114 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $4,677 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$437$380 to $794
Facility feeThe hospital or surgery center$4,677$4,677 to $5,754

How much rates vary

Facilitymedian $4,677 · 10th to 90th $380 to $5,754Professionalmedian $437 · 10th to 90th $355 to $813
$500$1K$2K$5K$10Kfacility $4,677professional $437

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
$380.19
Median
$4,677.35
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$812.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$478.63
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$1,949.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,232.93
Typical High
$14,791.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$660.69

Where West Virginia 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

West Virginia· 14th of 50

$5,114

$437 physician + $4,677 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.