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Dicyclomine Injection

Alaska rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

How much does Dicyclomine Injection cost?

$16.22per 20 mg

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $16.22 for each 20 mg of this drug. The price depends on where it is billed: about $16.98 from a physician practice, and about $9.33 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 20 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$16.98
At a hospital outpatient department
$9.33

The same drug, in the same amount, costs 45% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.98$9.33 to $30.20
FacilityA hospital or hospital-owned outpatient department$9.33$9.33 to $30.20

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $93Professionalmedian $17 · 10th to 90th $9 to $63
$10.0$20.0$50.0$100.0$200.0facility $9professional $17

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
$17.78
Median
$61.66
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$17.38
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$30.20
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$58.88
Typical High
$93.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$30.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.98
Typical High
$194.98

Where Alaska sits

The same service costs 15.1 times more in Delaware than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $16.22 · 24th of 51
DE $141AL $9.33

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.