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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 October 2026.

How much does Alprostadil Urethral Suppository cost?

$25.70

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $4.57 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.70$25.70 to $39.81
FacilityA hospital or hospital-owned outpatient department$4.57$4.57 to $39.81

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $40Professionalmedian $26 · 10th to 90th $26 to $71
$5$10$20$50$100facility $5professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$40.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.50
Median
$19.50
Typical High
$20.42
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$7.94
Typical High
$8.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.89
Median
$5.89
Typical High
$6.17
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.98
Median
$3.98
Typical High
$4.07
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4.37
Median
$4.57
Typical High
$4.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$64.57
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$70.79
Typical High
$70.79

Where Kentucky sits

The same service costs 3.1 times more in Wisconsin than in New York. 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.

Kentucky· 47th of 51

$25.70

WI $70.79NY $22.91

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.