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Dicyclomine Injection

Washington rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

How much does Dicyclomine Injection cost?

$17.78per 20 mg

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $17.78 for each 20 mg of this drug. The price depends on where it is billed: about $11.22 from a physician practice, and about $19.50 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
$11.22
At a hospital outpatient department
$19.50

The same drug, in the same amount, costs 74% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 9 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$11.22$10.23 to $17.78
FacilityA hospital or hospital-owned outpatient department$19.50$14.13 to $47.86

How much rates vary

Facilitymedian $19 · 10th to 90th $10 to $135Professionalmedian $11 · 10th to 90th $9 to $69
$10$20$50$100$200$500facility $19professional $11

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
$10.23
Median
$19.50
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$69.18
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$11.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$33.88
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$34.67
Typical High
$34.67
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$17.78
Typical High
$17.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$12.30

Where Washington sits

The same service costs 15.1 times more in Delaware 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.

Washington· 21st of 51

$17.78

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.