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Alprostadil Urethral Suppository

South Dakota 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 South Dakota, 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 $56.23 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 5 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$33.11 to $48.98
FacilityA hospital or hospital-owned outpatient department$56.23$39.81 to $70.79

How much rates vary

Facilitymedian $56 · 10th to 90th $28 to $74Professionalmedian $40 · 10th to 90th $27 to $71
$1.0$2.0$5.0$10.0$20.0$50.0$100.0facility $56professional $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. Small sample; interpret with caution. 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
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$41.69
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$33.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$63.10
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$70.79
Typical High
$79.43
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$40.74
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$28.84
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$81.28

Where South Dakota 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.

South Dakota $39.81 · 50th 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.