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Prostate biopsy in North Carolina: what insurers pay

Posted commercial rates at 4 North Carolina hospitals, each next to its own Medicare base rate.

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CPT 55707

HospitalMedian across insurers× MedicareInsurersFile date
North Carolina Specialty Hospital Durham$1,9950.6×12026-02-25
UNC Rex Hospital Raleigh$4,1481.2×32026-04-01
Lake Norman Regional Medical Center Mooresville$5,0501.5×22026-04-01
UNC Hospitals (Chapel Hill) Chapel Hill$6,2591.8×42026-04-01

Questions

How much do insurers pay for prostate biopsy in North Carolina?

4 North Carolina hospitals post usable commercial rates for prostate biopsy in their federal price-transparency files. For CPT 55707, hospital outpatient, the median across 4 hospitals is $4,599, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.