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Prostate biopsy: what insurers pay

Needle biopsy of the prostate: transrectal ultrasound-guided (55707), transperineal (55709) or without imaging (55705). 55700 was deleted for 2026. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 55707: Prostate Biopsy

1168 hospitals in 79 markets. National Medicare rate $3,601, surgery center $1,723.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$2,434$2,764$3,767$1,834–$4,638
Alaska (statewide)2———$5,543–$10,604
Arizona (statewide)21$3,160$3,922$3,922$2,183–$11,278
Arkansas (statewide)5$1,822$2,500$2,500$1,804–$2,831
Atlanta GA10$4,140$4,993$5,531$4,140–$5,531
Austin TX13$1,825$3,810$3,810$1,825–$4,804
Boston MA13$4,134$6,204$6,894$2,243–$8,019
California (statewide)49$4,002$6,245$9,451$2,799–$17,500
Charlotte NC7$2,435$2,435$2,562$2,402–$5,050
Chicago IL10$3,622$4,580$5,076$3,294–$5,808
Cleveland OH11$3,377$3,668$4,124$2,297–$5,881
Colorado (statewide)16$3,462$4,577$5,007$2,059–$7,154
Columbus OH2———$7,519–$7,519
Connecticut (statewide)3———$2,918–$8,709
Dallas-Fort Worth TX14$4,880$5,003$5,046$2,923–$6,124
Denver CO15$3,514$4,266$5,243$3,501–$5,436
Detroit MI9$2,016$2,613$3,512$1,842–$4,721
Florida (statewide)58$3,014$4,163$6,255$1,928–$13,250
Georgia (statewide)43$3,812$4,914$5,251$1,948–$14,666
Hawaii (statewide)3———$2,671–$5,092
Houston TX19$3,008$3,248$3,695$2,912–$6,728
Idaho (statewide)6$1,963$2,806$4,848$1,855–$7,528
Illinois (statewide)34$2,585$3,622$4,522$1,960–$10,500
Indiana (statewide)37$4,631$6,325$8,100$2,049–$12,861
Indianapolis IN1———$3,351–$3,351
Iowa (statewide)22$2,948$3,297$4,010$1,892–$6,919
Kansas (statewide)11$2,782$3,281$3,759$2,380–$10,604
Kentucky (statewide)16$2,401$2,704$3,921$1,784–$8,224
Las Vegas NV1———$3,010–$3,010
Los Angeles CA17$4,056$4,582$6,126$3,747–$14,322
Louisiana (statewide)19$1,923$2,929$3,668$1,720–$8,981
Maine (statewide)15$8,644$9,628$9,745$7,155–$12,252
Massachusetts (statewide)7$3,914$3,982$4,414$3,387–$7,556
Miami-Fort Lauderdale FL5$2,777$3,336$4,638$2,318–$4,862
Michigan (statewide)25$1,958$3,316$3,512$1,804–$17,197
Minneapolis-St. Paul MN7$3,178$3,178$3,468$3,111–$4,227
Minnesota (statewide)13$3,178$5,546$7,111$2,142–$7,530
Mississippi (statewide)17$2,880$3,284$3,956$2,547–$13,239
Missouri (statewide)18$3,319$3,708$4,652$2,067–$9,127
Montana (statewide)3———$4,146–$6,052
Nashville TN7$2,824$2,895$3,514$2,753–$4,100
Nebraska (statewide)13$2,938$3,262$3,909$2,375–$6,799
Nevada (statewide)3———$2,135–$5,757
New Hampshire (statewide)6$3,583$5,637$6,720$1,983–$15,785
New Jersey (statewide)28$4,373$5,802$6,710$2,238–$8,155
New Mexico (statewide)7$4,353$6,148$6,850$1,977–$8,688
New York (statewide)34$3,156$4,355$6,109$2,400–$10,283
New York City8$2,711$3,482$6,226$2,694–$9,796
North Carolina (statewide)5$4,951$7,914$8,731$4,154–$8,731
North Dakota (statewide)5$3,544$3,597$4,654$2,500–$6,540
Ohio (statewide)39$3,547$7,048$8,586$1,766–$13,548
Oklahoma (statewide)11$3,400$3,601$4,450$2,629–$7,918
Oregon (statewide)11$4,340$5,246$7,245$2,267–$13,548
Pennsylvania (statewide)46$3,342$5,035$6,512$1,874–$15,588
Philadelphia PA11$3,754$3,920$5,854$3,698–$8,155
Phoenix AZ11$2,788$2,897$3,410$2,600–$3,922
Pittsburgh PA9$3,491$4,306$4,416$2,244–$5,322
Portland OR9$6,990$6,990$7,368$6,532–$7,368
Research Triangle NC3———$1,995–$5,706
Rhode Island (statewide)5$3,359$4,099$4,274$2,243–$7,992
Richmond VA3———$4,060–$4,872
Rio Grande Valley TX6$2,631$2,743$3,348$2,606–$3,537
Salt Lake City UT9$3,854$4,734$4,734$3,854–$4,734
San Antonio TX3———$2,693–$3,374
San Diego CA3———$6,562–$8,360
San Francisco Bay Area CA6$5,826$6,222$6,422$5,194–$15,618
Seattle-Tacoma WA16$5,878$7,196$7,934$5,772–$8,858
South Carolina (statewide)26$4,784$6,126$8,788$2,892–$11,592
South Dakota (statewide)3———$2,532–$3,441
St. Louis MO9$3,817$5,685$8,358$2,022–$8,596
Tampa FL6$6,291$6,291$6,291$2,923–$9,268
Tennessee (statewide)32$2,292$2,426$2,542$1,936–$4,252
Texas (statewide)76$2,923$3,298$4,880$1,775–$8,767
Utah (statewide)6$2,106$3,797$5,394$1,854–$5,614
Virginia (statewide)20$3,254$5,169$7,534$2,259–$10,846
Washington (statewide)12$6,031$6,782$8,302$5,047–$11,290
Washington DC8$3,546$4,518$4,551$3,074–$4,590
West Virginia (statewide)8$5,096$6,148$9,097$2,274–$23,467
Wisconsin (statewide)34$5,019$6,745$6,745$2,162–$13,432

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Ochsner Lsu Health ShreveportLouisiana (statewide)$1,7200.5×22026-04-01
Ochsner Lsu Health Shreveport-St Mary Medical CentLouisiana (statewide)$1,7410.6×52026-04-01
Wood County HospitalOhio (statewide)$1,7660.5×32024-06-30
Hardtner Medical CenterLouisiana (statewide)$1,7720.6×12026-04-01
Longview Regional Medical CenterTexas (statewide)$1,7750.5×12026-04-01
Taylor Regional HospitalKentucky (statewide)$1,7840.5×12026-08-31
University Hospitals Samaritan Medical CenterOhio (statewide)$1,7860.5×12026-07-14
King'S Daughters' Medical CenterKentucky (statewide)$1,7880.5×22026-09-25
Detar Healthcare SystemTexas (statewide)$1,7950.5×12026-04-01
Chi St Vincent Hospital Hot SpringsArkansas (statewide)$1,8040.5×52026-02-28
Trinity Health Muskegon HospitalMichigan (statewide)$1,8040.5×172026-03-31
Covenant Medical CenterTexas (statewide)$1,8180.5×42026-05-15
Cedars-Sinai Medical CenterLos Angeles CA$14,3223.2×32025-11-26
East Georgia Regional Medical CenterGeorgia (statewide)$14,4044.7×22026-04-01
Northeast Georgia Medical Center, IncGeorgia (statewide)$14,6664.3×22026-04-01
Northeast Georgia Medical Center HabershamGeorgia (statewide)$14,6664.8×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$14,6664.2×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$14,6664.2×22026-04-01
Penn State Health St. JosephPennsylvania (statewide)$15,5884.3×12026-03-27
Stanford Health CareSan Francisco Bay Area CA$15,6183.0×42026-04-01
Elliot HospitalNew Hampshire (statewide)$15,7854.2×12026-04-01
Henry Ford Health Providence Southfield HospitalMichigan (statewide)$17,1974.9×12026-01-01
Victor Valley Global Medical CenterCalifornia (statewide)$17,5003.9×102026-05-13
Logan Regional Medical CenterWest Virginia (statewide)$23,4676.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 55709: Prostate Biopsy

457 hospitals in 62 markets. National Medicare rate $3,601, surgery center $1,723.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)1———$3,805–$3,805
Alaska (statewide)1———$5,543–$5,543
Atlanta GA2———$10,609–$10,770
Austin TX7$5,232$7,465$7,826$5,046–$8,492
Boston MA9$6,204$6,667$7,159$4,611–$8,019
California (statewide)23$5,484$9,784$10,626$3,523–$14,309
Chicago IL5$4,812$5,138$6,085$4,344–$6,085
Cleveland OH10$3,618$3,668$3,791$2,475–$7,837
Colorado (statewide)2———$5,188–$6,955
Connecticut (statewide)1———$3,362–$3,362
Dallas-Fort Worth TX11$5,170$5,178$5,740$5,170–$6,668
Denver CO9$5,188$5,298$6,879$4,344–$6,879
Detroit MI2———$3,864–$4,215
Florida (statewide)45$2,400$4,122$7,362$2,250–$15,344
Georgia (statewide)16$4,814$5,898$10,616$3,633–$13,441
Houston TX13$4,250$4,252$6,728$4,250–$14,164
Idaho (statewide)5$7,797$8,706$12,383$3,562–$13,116
Illinois (statewide)8$4,533$5,078$11,332$4,155–$11,332
Indiana (statewide)11$8,100$14,108$17,423$4,412–$20,580
Iowa (statewide)1———$6,855–$6,855
Kansas (statewide)4———$3,502–$9,745
Kentucky (statewide)3———$5,710–$9,228
Los Angeles CA14$5,050$5,050$5,780$4,452–$11,755
Louisiana (statewide)1———$6,568–$6,568
Massachusetts (statewide)3———$3,846–$3,982
Miami-Fort Lauderdale FL1———$3,259–$3,259
Michigan (statewide)8$3,601$3,601$3,965$3,512–$4,215
Minnesota (statewide)2———$7,111–$9,680
Mississippi (statewide)2———$3,194–$6,382
Missouri (statewide)9$4,254$5,292$5,462$2,774–$7,798
Nashville TN4———$3,435–$3,435
Nebraska (statewide)2———$23,255–$23,255
New Hampshire (statewide)4———$4,703–$20,408
New Jersey (statewide)4———$7,466–$11,212
New Mexico (statewide)4———$5,155–$10,297
New York (statewide)14$6,405$7,656$9,019$4,358–$11,000
New York City3———$4,314–$6,016
North Carolina (statewide)3———$8,731–$9,003
North Dakota (statewide)1———$2,500–$2,500
Ohio (statewide)31$6,630$9,146$10,650$2,475–$13,548
Oklahoma (statewide)4———$3,601–$9,421
Oregon (statewide)3———$7,917–$19,670
Pennsylvania (statewide)11$5,482$9,350$11,844$3,194–$15,588
Philadelphia PA7$4,527$4,565$5,826$3,194–$8,282
Portland OR9$7,920$7,920$14,624$7,888–$14,624
Rhode Island (statewide)3———$16,660–$22,258
Richmond VA3———$6,744–$8,137
Rio Grande Valley TX2———$9,508–$9,940
San Antonio TX2———$6,658–$6,658
San Diego CA2———$7,807–$8,360
San Francisco Bay Area CA4———$5,600–$8,299
Seattle-Tacoma WA10$9,424$11,908$16,674$8,270–$16,674
South Carolina (statewide)18$4,605$6,815$14,450$2,685–$15,445
St. Louis MO4———$4,586–$5,274
Tampa FL2———$6,994–$12,490
Tennessee (statewide)6$2,784$3,435$3,435$2,534–$3,435
Texas (statewide)31$5,108$5,294$6,703$2,035–$20,580
Virginia (statewide)15$9,814$10,817$11,614$7,608–$13,373
Washington (statewide)9$9,052$11,071$15,262$7,490–$28,324
Washington DC4———$4,862–$7,054
West Virginia (statewide)1———$23,467–$23,467
Wisconsin (statewide)8$10,972$13,432$13,432$3,609–$13,464

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Ennis Regional Medical CenterTexas (statewide)$2,0350.6×12026-04-01
Hca Florida Northside HospitalFlorida (statewide)$2,2500.6×52026-09-01
Hca Florida South Shore HospitalFlorida (statewide)$2,2500.6×52026-09-01
Hca Florida Northwest HospitalFlorida (statewide)$2,3500.6×72026-09-01
Hca Florida Woodmont HospitalFlorida (statewide)$2,3500.6×72026-09-01
Hca Florida Lawnwood HospitalFlorida (statewide)$2,3500.6×62026-09-01
Hca Florida Raulerson HospitalFlorida (statewide)$2,3500.6×72026-09-01
Hca Florida St Lucie HospitalFlorida (statewide)$2,3500.6×62026-09-01
Hca Florida Jfk HospitalFlorida (statewide)$2,4000.7×82026-09-01
Hca Florida Aventura HospitalFlorida (statewide)$2,4000.7×82026-09-01
Hca Florida Mercy HospitalFlorida (statewide)$2,4000.7×82026-09-01
Hca Florida Kendall HospitalFlorida (statewide)$2,4000.7×82026-09-01
Newport HospitalRhode Island (statewide)$17,2564.3×12026-04-01
Parkview Lagrange HospitalIndiana (statewide)$18,5635.0×12026-09-01
Providence Medford Medical CenterOregon (statewide)$19,6704.8×12026-04-01
Parkview Wabash Hospital, IncIndiana (statewide)$20,3685.5×12026-09-01
Southern Nh Medical CenterNew Hampshire (statewide)$20,4085.4×22026-04-01
Parkview Regional Medical CenterIndiana (statewide)$20,5805.5×12026-09-01
Parkview HospitalTexas (statewide)$20,5805.8×12026-09-01
The Miriam HospitalRhode Island (statewide)$22,2585.6×12026-04-01
The Nebraska Medical CenterNebraska (statewide)$23,2556.3×12026-08-10
Bellevue Medical CenterNebraska (statewide)$23,2556.3×12026-08-10
Logan Regional Medical CenterWest Virginia (statewide)$23,4676.9×12026-04-01
Mary Bridge Children'S HospitalWashington (statewide)$28,3246.9×12026-08-27

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 55705: Prostate Biopsy

881 hospitals in 75 markets. National Medicare rate $3,601, surgery center $1,723.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)5$3,088$3,805$4,080$2,763–$6,180
Alaska (statewide)2———$5,543–$11,506
Arizona (statewide)5$2,292$2,441$2,788$2,286–$5,282
Arkansas (statewide)3———$1,804–$2,500
Atlanta GA6$4,140$4,140$4,780$4,140–$4,993
Austin TX13$1,825$3,490$3,490$1,825–$5,170
Boston MA10$3,690$3,879$4,288$3,194–$4,698
California (statewide)48$5,237$10,176$13,052$3,346–$13,052
Charlotte NC5$4,100$4,100$4,100$4,045–$4,100
Chicago IL8$3,622$4,580$5,122$3,294–$5,808
Cleveland OH11$2,618$3,465$3,739$1,857–$5,881
Colorado (statewide)12$3,763$4,582$5,712$2,694–$7,154
Connecticut (statewide)1———$3,362–$3,362
Dallas-Fort Worth TX9$3,016$3,478$4,309$2,923–$6,124
Denver CO15$3,514$4,108$4,430$3,501–$5,678
Detroit MI6$2,252$3,350$4,703$1,891–$5,085
Florida (statewide)54$3,814$4,173$5,285$2,398–$9,042
Georgia (statewide)27$3,164$4,030$4,993$1,948–$14,666
Hawaii (statewide)3———$4,088–$5,144
Houston TX19$2,732$3,695$3,911$2,650–$6,728
Idaho (statewide)9$3,506$8,219$8,760$3,205–$10,563
Illinois (statewide)23$3,217$3,728$5,636$2,137–$10,247
Indiana (statewide)17$5,230$6,325$7,532$2,234–$8,220
Iowa (statewide)14$3,981$5,551$7,312$3,081–$9,418
Kansas (statewide)7$3,256$3,600$4,387$2,800–$11,506
Kentucky (statewide)14$2,498$3,872$4,203$1,788–$5,837
Las Vegas NV2———$2,482–$3,010
Los Angeles CA17$4,599$5,015$6,308$3,758–$14,322
Louisiana (statewide)19$2,694$3,283$3,806$1,720–$9,797
Maine (statewide)15$14,552$16,210$16,407$12,047–$20,628
Massachusetts (statewide)2———$2,428–$3,700
Miami-Fort Lauderdale FL1———$6,439–$6,439
Michigan (statewide)13$3,512$4,050$4,146$3,035–$4,146
Minneapolis-St. Paul MN6$3,803$3,803$4,128$3,736–$7,424
Minnesota (statewide)11$8,601$9,493$11,770$3,803–$13,149
Mississippi (statewide)8$3,319$3,322$3,974$3,148–$4,424
Missouri (statewide)10$3,233$3,268$4,078$2,923–$6,897
Montana (statewide)3———$7,050–$10,458
Nashville TN7$2,824$2,895$4,236$2,753–$5,394
Nebraska (statewide)11$3,262$3,413$6,914$2,482–$7,390
Nevada (statewide)3———$2,377–$2,482
New Hampshire (statewide)6$5,026$6,084$10,457$4,503–$15,785
New Jersey (statewide)14$6,191$6,524$7,591$4,940–$11,212
New Mexico (statewide)5$3,640$3,912$6,945$2,754–$9,063
New York (statewide)28$3,500$5,171$6,864$2,370–$10,283
New York City7$3,240$3,244$4,808$3,238–$11,420
North Carolina (statewide)4———$4,276–$8,731
North Dakota (statewide)5$5,967$6,156$6,540$2,500–$7,965
Ohio (statewide)35$4,928$7,142$8,846$1,786–$13,548
Oklahoma (statewide)8$3,834$6,520$7,189$3,317–$8,433
Oregon (statewide)8$8,351$9,360$12,920$3,278–$16,126
Pennsylvania (statewide)18$6,659$9,188$12,372$2,873–$16,215
Philadelphia PA10$3,608$3,998$6,083$3,148–$8,155
Phoenix AZ8$2,741$2,842$2,897$2,600–$2,897
Pittsburgh PA5$7,004$7,216$7,553$6,252–$8,681
Portland OR9$6,990$6,990$12,652$6,532–$12,652
Rhode Island (statewide)3———$6,270–$7,098
Richmond VA3———$4,146–$4,816
Rio Grande Valley TX3———$3,041–$3,537
Salt Lake City UT9$3,822$3,952$3,952$3,174–$4,083
San Antonio TX3———$3,044–$4,210
San Diego CA2———$7,807–$8,360
San Francisco Bay Area CA4———$5,194–$15,618
Seattle-Tacoma WA16$8,721$9,168$12,316$8,002–$13,932
South Carolina (statewide)19$4,102$6,467$7,073$1,980–$11,592
South Dakota (statewide)2———$3,282–$4,333
Tampa FL6$4,604$4,604$4,604$2,923–$9,268
Tennessee (statewide)19$2,416$2,435$3,778$2,238–$7,036
Texas (statewide)70$2,923$3,199$3,989$1,825–$9,281
Utah (statewide)6$3,232$3,613$3,822$3,174–$3,952
Virginia (statewide)18$5,051$5,186$8,707$3,276–$11,029
Washington (statewide)11$8,897$9,932$11,531$5,147–$18,218
Washington DC4———$2,978–$3,616
West Virginia (statewide)12$5,096$5,912$11,470$1,832–$23,467
Wisconsin (statewide)27$5,271$6,745$6,875$2,230–$13,432

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Ochsner Lsu Health ShreveportLouisiana (statewide)$1,7200.5×22026-04-01
Ochsner Lsu Health Shreveport-St Mary Medical CentLouisiana (statewide)$1,7410.6×52026-04-01
Hardtner Medical CenterLouisiana (statewide)$1,7720.6×12026-04-01
University Hospitals Samaritan Medical CenterOhio (statewide)$1,7860.5×12026-07-14
King'S Daughters' Medical CenterKentucky (statewide)$1,7880.5×22026-09-25
Chi St Vincent Hospital Hot SpringsArkansas (statewide)$1,8040.5×52026-02-28
Ascension Seton Medical Center AustinAustin TX$1,8250.5×12026-01-01
Dell Seton Med Center At The University Of TxAustin TX$1,8250.5×12026-01-01
Ascension Seton SouthwestAustin TX$1,8250.5×12026-01-01
Ascension Seton NorthwestAustin TX$1,8250.5×12026-01-01
Ascension Seton Highland LakesTexas (statewide)$1,8250.5×12026-01-01
Ascension Seton Edgar B DavisTexas (statewide)$1,8250.5×12026-01-01
Providence Medford Medical CenterOregon (statewide)$16,1263.9×22026-04-01
Mainehealth Pen Bay HospitalMaine (statewide)$16,2104.7×12025-09-09
Lehigh Valley Hospital - MacungiePennsylvania (statewide)$16,2154.5×82026-07-01
Northern Light Mercy HospitalMaine (statewide)$16,4074.5×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$16,4074.7×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$16,4074.7×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$16,4074.7×22026-03-30
Mainehealth Waldo HospitalMaine (statewide)$16,9464.9×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$17,2805.0×22026-03-30
Mary Bridge Children'S HospitalWashington (statewide)$18,2184.4×52026-08-27
Mainehealth Lincoln HospitalMaine (statewide)$20,6286.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$23,4676.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for prostate biopsy?

Across 1168 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 55707, hospital outpatient is $4,250, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,008 to $6,219. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for prostate biopsy?

Medicare's national hospital outpatient rate for CPT 55707 is $3,601 and its surgery-center rate is $1,723, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for prostate biopsy?

Lowest medians: Ochsner Lsu Health Shreveport ($1,720), Ochsner Lsu Health Shreveport-St Mary Medical Cent ($1,741), Wood County Hospital ($1,766). Highest: Logan Regional Medical Center ($23,467), Victor Valley Global Medical Center ($17,500), Henry Ford Health Providence Southfield Hospital ($17,197). Coverage: every hospital whose price file we could read.