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Alprostadil Injection

New York rates for HCPCS J0270

Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Rates data updated July 2026.

How much does Alprostadil Injection cost?

$10.72

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $10.23 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.72$10.23 to $10.72
FacilityA hospital or hospital-owned outpatient department$10.23$7.59 to $13.49

How much rates vary

Facilitymedian $10 · 10th to 90th $7 to $19Professionalmedian $11 · 10th to 90th $7 to $13
$0.5$1$2$5$10$20$50facility $10professional $11

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
$8.91
Median
$10.96
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$9.77
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$58.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$10.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.71
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.92
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.72
Typical High
$16.22
Univera
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$7.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$6.61
Typical High
$7.94

Where New York sits

The same service costs 4.0 times more in Colorado than in Kentucky. 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.

New York· 33rd of 51

$10.72

CO $18.20KY $4.57

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.