$350.43
Use 55708 when the transrectal biopsy uses MRI-ultrasound fusion to target a lesion. Code 55707 describes transrectal ultrasound-guided biopsy without that fusion method.
On this page
CMS RVU26D · Effective 2026-10-01
55708 Prostate biopsy Medicare reimbursement rates in Rhode Island
Reports ultrasound-guided transrectal prostate sampling that uses MRI-ultrasound fusion to target the first MRI-identified lesion. Compare 55708 office and facility rates across CMS payment localities in Rhode Island.
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.
What does Medicare pay for 55708 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$429.75
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$171.67
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urology procedure
About 55708: Transrectal MRI-fusion prostate biopsy
Reports ultrasound-guided transrectal prostate sampling that uses MRI-ultrasound fusion to target the first MRI-identified lesion.
A urologist uses a transrectal ultrasound probe and fusion software to align previously obtained MRI images with live ultrasound, then guides biopsy sampling to the first targeted prostate lesion. This approach is used when imaging identifies a suspicious focus, such as during evaluation of an elevated PSA or abnormal prostate findings. The route is through the rectum; it is not a transperineal or in-bore MRI biopsy.
Report the service for the first lesion targeted with this transrectal MRI-fusion method; code 55715 may apply to additional lesions. Document the imaging-fusion approach, route, lesion targeting, and sampling performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 55708
- 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 RVU3.39 · 27%
- Practice expense (office) RVU8.74 · 70%
- Malpractice RVU0.43 · 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.
55708 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$669.80
Both involve ultrasound-guided MRI-fusion prostate biopsy, but 55710 uses a transperineal route; 55708 uses a transrectal route.
$785.21
Code 55713 describes an in-bore CT or MRI biopsy. Code 55708 uses transrectal ultrasound guidance with MRI-ultrasound fusion.
Compare 55708 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$429.75
Facility
$171.67
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 55708 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,364
- Code
- 55708
- Physician work
- 3.39
- Practice expense
- 8.74
- Malpractice
- 0.43
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.39 | × 1.019 | 3.4544 |
| Practice expense | 8.74 | × 1.033 | 9.0284 |
| Malpractice | 0.43 | × 0.892 | 0.3836 |
| Total RVUs | 12.8664 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$429.75
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.39 | 1.019 |
| Practice expense | 8.74 | 1.033 |
| Malpractice | 0.43 | 0.892 |
(3.39 × 1.019 + 8.74 × 1.033 + 0.43 × 0.892) × $33.4009 = $429.75
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.39 | 1.019 |
| Practice expense | 1.26 | 1.033 |
| Malpractice | 0.43 | 0.892 |
(3.39 × 1.019 + 1.26 × 1.033 + 0.43 × 0.892) × $33.4009 = $171.67
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.
55708 billing questions
How is this different from 55707?
55708 involves transrectal ultrasound guidance combined with MRI fusion to target a lesion. Code 55707 describes transrectal ultrasound-guided biopsy without the MRI-fusion method.
Can 55715 be reported with 55708?
Yes. Code 55708 reports the first targeted lesion, and 55715 is the add-on code for each additional lesion when applicable.
Should modifier 50 be appended for bilateral sampling?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting 55708?
Document the transrectal route, ultrasound guidance with MRI fusion, the targeted lesion, and the biopsy sampling performed.
How are multiple procedures in the same session paid?
Medicare pays the highest-valued procedure in full and reduces the other procedures to 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.
When is assistant-at-surgery payment allowed?
Only when medical necessity for the assistant is documented. 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.
6,36155705,,Bx prst8 any approach nonimg,A,,1.88,4.87,,0.88,,0.23,6.98,2.99,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36255706,,Bx prst8 ndl sat sampling,A,,4.16,1.40,NA,1.40,,0.53,6.09,6.09,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36355707,,Bx prst8 trct us guided,A,,2.63,7.26,,1.10,,0.35,10.24,4.08,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36455708,,Bx prst8 trct us w/mri fus 1,A,,3.39,8.74,,1.26,,0.43,12.56,5.08,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36555709,,Bx prst8 tprnl us guided,A,,3.23,13.77,,1.23,,0.42,17.42,4.88,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36655710,,Bx prst8 tprn us w/mri fus 1,A,,3.81,15.24,,1.35,,0.48,19.53,5.64,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36755711,,Bx prst8 trct mri-us 1st,A,,2.61,8.04,,1.10,,0.35,11.00,4.06,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537