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Alprostadil Urethral Suppository

Virginia 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?

$41.69

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $45.71 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$41.69$40.74 to $41.69
FacilityA hospital or hospital-owned outpatient department$45.71$41.69 to $91.20

How much rates vary

Facilitymedian $46 · 10th to 90th $42 to $110Professionalmedian $42 · 10th to 90th $26 to $44
$0.1$1.0$10.0$100.0facility $46professional $42

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
$41.69
Median
$45.71
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$41.69
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$45.71
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$25.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$41.69
Typical High
$60.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$28.84
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$70.79

Where Virginia 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.

Virginia $41.69 · 25th 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.