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Buprenorphine, Oral

Georgia rates for HCPCS J0571

Buprenorphine, oral, 1 mg

Rates data updated October 2026.

How much does Buprenorphine, Oral cost?

$0.30per mg

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $0.30 for each mg of this drug. The price depends on where it is billed: about $0.30 from a physician practice, and about $0.38 from a hospital or other facility.

Work out the cost of a dose

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

mg
In a doctor's office or clinic
$0.30
At a hospital outpatient department
$0.38

The same drug, in the same amount, costs 26% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.30$0.27 to $1.20
FacilityA hospital or hospital-owned outpatient department$0.38$0.38 to $0.49

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $2Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1$2facility $0professional $0

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
$0.38
Median
$0.38
Typical High
$0.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.38
Median
$0.38
Typical High
$0.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.38
Median
$0.85
Typical High
$2.09
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$0.30
Typical High
$1.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.27
Median
$0.31
Typical High
$0.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$0.27
Typical High
$0.27
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$3.98
Typical High
$6.03
United
Setting
Professional
Modifier
None
Typical Low
$0.38
Median
$0.38
Typical High
$0.68
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.19
Median
$0.19
Typical High
$0.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.08
Median
$0.08
Typical High
$0.08
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.06
Median
$0.06
Typical High
$0.06
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.04
Median
$0.04
Typical High
$0.04

Where Georgia sits

The same service costs 6.3 times more in Kansas than in Virginia. 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.

Georgia· 49th of 51

$0.30

KS $1.78VA $0.28

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.