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Alprostadil Urethral Suppository

New York 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 New York, 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 $41.69 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 8 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 $41.69
FacilityA hospital or hospital-owned outpatient department$41.69$39.81 to $58.88

How much rates vary

Facilitymedian $42 · 10th to 90th $29 to $98Professionalmedian $40 · 10th to 90th $22 to $71
$10$20$50$100$200facility $42professional $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
$41.69
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$39.81
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$25.70
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$123.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$81.28
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$28.84
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$83.18
Univera
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Univera
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$26.92

Where New York 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.

New York· 45th 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.