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Alprostadil Urethral Suppository

Washington 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?

$41.69

Typical negotiated rate. In Washington, October 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 $41.69 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$25.70 to $70.79
FacilityA hospital or hospital-owned outpatient department$41.69$25.70 to $47.86

How much rates vary

Facilitymedian $42 · 10th to 90th $26 to $51Professionalmedian $42 · 10th to 90th $26 to $71
$20$50$100facility $42professional $42

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.13
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.17
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.07
Median
$4.17
Typical High
$4.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$47.86
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$56.23
Typical High
$63.10
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$70.79
Typical High
$70.79
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70

Where Washington 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.

Washington· 19th of 51

$41.69

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.