FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

55707 in Austin

Office / nonfacility

$354.93

Base rate per service

Facility setting

$137.25

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Urology procedure

About 55707: Transrectal ultrasound-guided prostate biopsy

Reports needle sampling of prostate tissue through the rectum with ultrasound guidance, commonly during evaluation of an elevated PSA or abnormal examination.

A urologist typically uses a transrectal ultrasound probe to visualize the prostate and guide a needle that collects tissue cores. The procedure is commonly performed in an office or outpatient setting when prostate cancer is suspected, such as after an elevated prostate-specific antigen result or an abnormal digital rectal examination. The ultrasound-guided transrectal approach distinguishes this service from biopsies performed without imaging, by another route, or with MRI fusion.

Select the code when the documented biopsy uses the transrectal route and ultrasound guidance; the procedure note should support the approach and imaging method. The 0-day global period includes same-day preoperative and postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 55707

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.63 · 26%
  • Practice expense (office) RVU7.26 · 71%
  • Malpractice RVU0.35 · 3%

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

55707 compared with similar codes

Office rates for Austin, from the same CMS release.

55705

Prostate biopsy

Any approach, no imaging

$241.82

Use 55707 when ultrasound guides a transrectal biopsy. Use 55705 when the biopsy is performed without imaging guidance.

55706

Prostate biopsy

Saturation sampling

No office rate

55706 identifies transrectal saturation sampling. 55707 is selected for a transrectal biopsy guided by ultrasound when saturation sampling is not the defining method.

55708

Prostate biopsy

Transrectal MRI-US fusion

$435.04

55708 is the transrectal ultrasound-guided option with MRI fusion. Report 55707 for ultrasound-guided transrectal sampling without MRI fusion.

55709

Prostate biopsy

Transperineal ultrasound guided

$607.14

Both involve ultrasound guidance, but 55709 uses the transperineal route; 55707 uses the transrectal route.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 55707 is $319.37—$35.56 lower than the $354.93 rate in Austin. Both use the same code, release and participation basis.

55707 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $354.93

  2. Beaumont

    $319.37

    $35.56 lower than Austin

  3. Brazoria

    $337.97

    $16.96 lower than Austin

  4. Dallas

    $340.19

    $14.74 lower than Austin

  5. Fort Worth

    $337.91

    $17.02 lower than Austin

  6. Galveston

    $339.02

    $15.91 lower than Austin

  7. Houston

    $345.43

    $9.50 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 55707 ranges from $302.16 in Arkansas to $453.44 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 55707

    Office

    $328.52

    Facility

    $133.27

    $26.41 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 55707

    Office

    $386.07

    Facility

    $142.67

    $31.14 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 55707

    Office

    $391.25

    Facility

    $148.88

    $36.32 higher than Austin for the office setting.

  • Miami

    Florida · 55707

    Office

    $369.84

    Facility

    $155.66

    $14.91 higher than Austin for the office setting.

  • Chicago

    Illinois · 55707

    Office

    $358.99

    Facility

    $152.21

    $4.06 higher than Austin for the office setting.

  • Manhattan

    New York · 55707

    Office

    $393.78

    Facility

    $154.70

    $38.85 higher than Austin for the office setting.

  • Alaska*

    Alaska · 55707

    Office

    $396.46

    Facility

    $177.34

    $41.53 higher than Austin for the office setting.

  • Alabama

    Alabama · 55707

    Office

    $306.64

    Facility

    $126.61

    $48.29 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 55707

    Office

    $302.16

    Facility

    $125.43

    $52.77 lower than Austin for the office setting.

  • Arizona

    Arizona · 55707

    Office

    $332.82

    Facility

    $133.45

    $22.11 lower than Austin for the office setting.

  • Bakersfield

    California · 55707

    Office

    $362.40

    Facility

    $136.90

    $7.47 higher than Austin for the office setting.

  • Chico

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • El Centro

    California · 55707

    Office

    $361.43

    Facility

    $135.93

    $6.50 higher than Austin for the office setting.

  • Fresno

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Madera

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Merced

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Modesto

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Napa

    California · 55707

    Office

    $418.92

    Facility

    $147.74

    $63.99 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 55707

    Office

    $384.21

    Facility

    $141.01

    $29.28 higher than Austin for the office setting.

  • Redding

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Rest Of California

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 55707

    Office

    $365.17

    Facility

    $139.67

    $10.24 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 55707

    Office

    $379.29

    Facility

    $140.00

    $24.36 higher than Austin for the office setting.

  • Salinas

    California · 55707

    Office

    $377.88

    Facility

    $139.42

    $22.95 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 55707

    Office

    $386.83

    Facility

    $140.76

    $31.90 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 55707

    Office

    $443.47

    Facility

    $153.36

    $88.54 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 55707

    Office

    $443.07

    Facility

    $152.96

    $88.14 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 55707

    Office

    $453.44

    Facility

    $156.75

    $98.51 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 55707

    Office

    $451.82

    Facility

    $155.13

    $96.89 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 55707

    Office

    $371.80

    Facility

    $137.45

    $16.87 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 55707

    Office

    $390.58

    Facility

    $140.60

    $35.65 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 55707

    Office

    $379.31

    Facility

    $139.41

    $24.38 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 55707

    Office

    $394.52

    Facility

    $141.86

    $39.59 higher than Austin for the office setting.

  • Stockton

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Vallejo

    California · 55707

    Office

    $418.35

    Facility

    $147.17

    $63.42 higher than Austin for the office setting.

  • Visalia

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Yuba City

    California · 55707

    Office

    $361.37

    Facility

    $135.87

    $6.44 higher than Austin for the office setting.

  • Colorado

    Colorado · 55707

    Office

    $356.04

    Facility

    $137.12

    $1.11 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 55707

    Office

    $364.91

    Facility

    $143.32

    $9.98 higher than Austin for the office setting.

  • Delaware

    Delaware · 55707

    Office

    $338.37

    Facility

    $135.09

    $16.56 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 55707

    Office

    $354.62

    Facility

    $146.20

    $0.31 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 55707

    Office

    $337.24

    Facility

    $140.54

    $17.69 lower than Austin for the office setting.

  • Atlanta

    Georgia · 55707

    Office

    $348.52

    Facility

    $139.48

    $6.41 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 55707

    Office

    $318.08

    Facility

    $134.55

    $36.85 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 55707

    Office

    $370.32

    Facility

    $136.39

    $15.39 higher than Austin for the office setting.

  • Iowa

    Iowa · 55707

    Office

    $314.36

    Facility

    $126.10

    $40.57 lower than Austin for the office setting.

  • Idaho

    Idaho · 55707

    Office

    $316.47

    Facility

    $127.18

    $38.46 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 55707

    Office

    $334.48

    Facility

    $145.19

    $20.45 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 55707

    Office

    $327.51

    Facility

    $139.66

    $27.42 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 55707

    Office

    $358.21

    Facility

    $146.91

    $3.28 higher than Austin for the office setting.

  • Indiana

    Indiana · 55707

    Office

    $318.31

    Facility

    $127.58

    $36.62 lower than Austin for the office setting.

  • Kansas

    Kansas · 55707

    Office

    $312.95

    Facility

    $126.95

    $41.98 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 55707

    Office

    $314.12

    Facility

    $131.20

    $40.81 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 55707

    Office

    $329.31

    Facility

    $135.70

    $25.62 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 55707

    Office

    $313.65

    Facility

    $131.56

    $41.28 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 55707

    Office

    $391.38

    Facility

    $145.72

    $36.45 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 55707

    Office

    $353.91

    Facility

    $137.26

    $1.02 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 55707

    Office

    $363.90

    Facility

    $143.13

    $8.97 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 55707

    Office

    $344.85

    Facility

    $136.64

    $10.08 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 55707

    Office

    $318.21

    Facility

    $128.92

    $36.72 lower than Austin for the office setting.

  • Southern Maine

    Maine · 55707

    Office

    $335.53

    Facility

    $131.63

    $19.40 lower than Austin for the office setting.

  • Detroit

    Michigan · 55707

    Office

    $341.56

    Facility

    $143.01

    $13.37 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 55707

    Office

    $322.44

    Facility

    $134.59

    $32.49 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 55707

    Office

    $340.83

    Facility

    $129.11

    $14.10 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 55707

    Office

    $326.96

    Facility

    $133.77

    $27.97 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 55707

    Office

    $330.41

    Facility

    $134.54

    $24.52 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 55707

    Office

    $308.26

    Facility

    $130.90

    $46.67 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 55707

    Office

    $305.27

    Facility

    $128.12

    $49.66 lower than Austin for the office setting.

  • Montana**

    Montana · 55707

    Office

    $342.00

    Facility

    $136.25

    $12.93 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 55707

    Office

    $321.56

    Facility

    $129.59

    $33.37 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 55707

    Office

    $335.08

    Facility

    $129.33

    $19.85 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 55707

    Office

    $316.08

    Facility

    $126.18

    $38.85 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 55707

    Office

    $350.51

    Facility

    $136.32

    $4.42 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 55707

    Office

    $387.15

    Facility

    $148.48

    $32.22 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 55707

    Office

    $368.98

    Facility

    $144.30

    $14.05 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 55707

    Office

    $324.25

    Facility

    $135.58

    $30.68 lower than Austin for the office setting.

  • Nevada**

    Nevada · 55707

    Office

    $340.32

    Facility

    $134.36

    $14.61 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 55707

    Office

    $403.50

    Facility

    $158.86

    $48.57 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 55707

    Office

    $371.47

    Facility

    $146.17

    $16.54 higher than Austin for the office setting.

  • Queens

    New York · 55707

    Office

    $396.95

    Facility

    $153.75

    $42.02 higher than Austin for the office setting.

  • Rest Of New York

    New York · 55707

    Office

    $326.43

    Facility

    $130.97

    $28.50 lower than Austin for the office setting.

  • Ohio

    Ohio · 55707

    Office

    $321.02

    Facility

    $133.17

    $33.91 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 55707

    Office

    $313.47

    Facility

    $129.74

    $41.46 lower than Austin for the office setting.

  • Portland

    Oregon · 55707

    Office

    $367.35

    Facility

    $138.77

    $12.42 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 55707

    Office

    $337.58

    Facility

    $132.66

    $17.35 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 55707

    Office

    $355.80

    Facility

    $141.62

    $0.87 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 55707

    Office

    $321.50

    Facility

    $132.62

    $33.43 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 55707

    Office

    $344.52

    Facility

    $136.50

    $10.41 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 55707

    Office

    $350.43

    Facility

    $137.89

    $4.50 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 55707

    Office

    $321.84

    Facility

    $131.73

    $33.09 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 55707

    Office

    $334.26

    Facility

    $128.51

    $20.67 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 55707

    Office

    $314.55

    Facility

    $127.52

    $40.38 lower than Austin for the office setting.

  • Utah

    Utah · 55707

    Office

    $326.28

    Facility

    $132.88

    $28.65 lower than Austin for the office setting.

  • Virginia

    Virginia · 55707

    Office

    $334.47

    Facility

    $132.21

    $20.46 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 55707

    Office

    $344.52

    Facility

    $136.50

    $10.41 lower than Austin for the office setting.

  • Vermont

    Vermont · 55707

    Office

    $333.83

    Facility

    $130.13

    $21.10 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 55707

    Office

    $353.23

    Facility

    $136.57

    $1.70 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 55707

    Office

    $399.32

    Facility

    $146.87

    $44.39 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 55707

    Office

    $323.75

    Facility

    $126.64

    $31.18 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 55707

    Office

    $315.30

    Facility

    $136.50

    $39.63 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 55707

    Office

    $338.99

    Facility

    $133.24

    $15.94 lower than Austin for the office setting.

See how rates vary across the country

55707 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$302.16

$407.41

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$396.461
AL$306.641
AR$302.161
AZ$332.821
CA$361.37–$453.4429
CO$356.041
CT$364.911
DC$391.251
DE$338.371
FL$337.24–$369.843
GA$318.08–$348.522
GU$370.321
HI$370.321
IA$314.361
ID$316.471
IL$327.51–$358.994
IN$318.311
KS$312.951
KY$314.121
LA$313.65–$329.312
MA$353.91–$391.382
MD$344.85–$391.253
ME$318.21–$335.532
MI$322.44–$341.562
MN$340.831
MO$308.26–$330.413
MS$305.271
MT$342.001
NC$321.561
ND$335.081
NE$316.081
NH$350.511
NJ$368.98–$387.152
NM$324.251
NV$340.321
NY$326.43–$403.505
OH$321.021
OK$313.471
OR$337.58–$367.352
PA$321.50–$355.802
PR$344.521
RI$350.431
SC$321.841
SD$334.261
TN$314.551
TX$319.37–$354.938
UT$326.281
VA$334.47–$391.252
VI$344.521
VT$333.831
WA$353.23–$399.322
WI$323.751
WV$315.301
WY$338.991

Explore 55707 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 55707 in Austin, the physician’s office rate is $354.93 and the facility-setting rate is $137.25: a difference of $217.68.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 55707 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$390.42

$354.93 × 110% = $390.42

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 55707 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,363

Code
55707
Physician work
2.63
Practice expense
7.26
Malpractice
0.35

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 55707 in Austin
ComponentRVULocality factorAdjusted
Physician work2.63× 1.0022.6353
Practice expense7.26× 1.0587.6811
Malpractice0.35× 0.8860.3101
Total RVUs10.6264
Conversion factor× 33.4009

Office / nonfacility rate, Austin$354.93

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 55707 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.631.002
Practice expense7.261.058
Malpractice0.350.886

(2.63 × 1.002 + 7.26 × 1.058 + 0.35 × 0.886) × $33.4009 = $354.93

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.631.002
Practice expense1.11.058
Malpractice0.350.886

(2.63 × 1.002 + 1.1 × 1.058 + 0.35 × 0.886) × $33.4009 = $137.25

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

55707 · Office / nonfacility

$354.93

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    No ratechanged to$354.93

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$354.93$137.25RVU26D
2026-07-01$354.93$137.25RVU26C
2026-04-01$354.93$137.25RVU26B
2026-01-01$354.93$137.25RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

55707 billing questions

How does this differ from 55705?

55707 describes a transrectal biopsy performed with ultrasound guidance. Use 55705 when the biopsy is performed without imaging guidance.

When is 55706 a better fit?

55706 identifies transrectal needle sampling using a saturation technique. Choose based on the documented sampling method, rather than treating it as a routine ultrasound-guided biopsy.

Does MRI fusion change the code choice?

Yes. Code 55708 is the related transrectal ultrasound-guided biopsy option with MRI fusion; 55707 describes ultrasound guidance without that fusion distinction.

Can modifier 50 be reported for biopsies of both sides?

No. Modifier 50 is inappropriate for this code. The CMS bilateral adjustment does not apply.

What same-day care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care. Procedures performed in the same session are subject to the standard multiple-procedure payment reduction.

When can an assistant at surgery be paid?

Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 55707PPRRVU2026_Oct_nonQPP.csv, line 6,363 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet