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Dicyclomine Injection

Utah rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated October 2026.

How much does Dicyclomine Injection cost?

$9.77per 20 mg

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $9.77 for each 20 mg of this drug. The price depends on where it is billed: about $9.33 from a physician practice, and about $13.18 from a hospital or other facility.

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
$9.33
At a hospital outpatient department
$13.18

The same drug, in the same amount, costs 41% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.33$8.51 to $9.77
FacilityA hospital or hospital-owned outpatient department$13.18$9.77 to $17.38

How much rates vary

Facilitymedian $13 · 10th to 90th $10 to $17Professionalmedian $9 · 10th to 90th $9 to $10
$10$20facility $13professional $9

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
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$15.14
Typical High
$19.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Select Health
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$8.51
Typical High
$13.49
United
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33

Where Utah sits

The same service costs 6.5 times more in Oklahoma than in Alabama. 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.

Utah· 24th of 51

$9.77

OK $54.95AL $8.51

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.