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Alprostadil Urethral Suppository

Kentucky 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 Kentucky, 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 $4.57 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$25.70 to $39.81
FacilityA hospital or hospital-owned outpatient department$4.57$4.57 to $4.57

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $40Professionalmedian $40 · 10th to 90th $26 to $42
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $5professional $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
$39.81
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$41.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.57
Typical High
$4.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$51,286.14
Typical High
$56,234.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$51,286.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$64.57
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$28.84
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$70.79

Where Kentucky sits

The same service costs 2.5 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $39.81 · 49th of 51
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.