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Alprostadil Urethral Suppository

Illinois rates for HCPCS J0275

Alprostadil urethral suppository (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 Urethral Suppository cost?

$39.81

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $74.13 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 6 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$39.81$39.81 to $41.69
FacilityA hospital or hospital-owned outpatient department$74.13$39.81 to $87.10

How much rates vary

Facilitymedian $74 · 10th to 90th $40 to $105Professionalmedian $40 · 10th to 90th $40 to $71
$50$100$200$500facility $74professional $40

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
$39.81
Median
$79.43
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$42.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$100.00
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$28.84
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$74.13

Where Illinois sits

The same service costs 2.5 times more in Minnesota than in Hawaii. 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.

Illinois· 39th of 51

$39.81

MN $69.18HI $28.18

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.