go back

Dicyclomine Injection

Illinois rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $50 · 10th–90th $10$1740%5%10%10th90th$50Professionalmedian $10 · 10th–90th $9$220%50%10th90th$10$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$48.98
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$16.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$79.43
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.38
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.39
Typical High
$123.03
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$15.49
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.02