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Buprenorphine, Oral

Indiana rates for HCPCS J0571

Buprenorphine, oral, 1 mg

Rates data updated October 2026.

How much does Buprenorphine, Oral cost?

$1.12per mg

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $1.12 for each mg of this drug. The price depends on where it is billed: about $1.51 from a physician practice, and about $0.56 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
$1.51
At a hospital outpatient department
$0.56

The same drug, in the same amount, costs 63% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.51$0.38 to $2.24
FacilityA hospital or hospital-owned outpatient department$0.56$0.43 to $0.76

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $2 · 10th to 90th $0 to $3
$0.5$1$2facility $1professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.37
Median
$0.50
Typical High
$0.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.37
Median
$0.37
Typical High
$0.37
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.36
Median
$0.62
Typical High
$1.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.93
Median
$2.24
Typical High
$3.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.31
Median
$0.74
Typical High
$0.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$0.27
Typical High
$1.91
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$0.23
Median
$0.43
Typical High
$1.10
United
Setting
Professional
Modifier
None
Typical Low
$0.38
Median
$0.38
Typical High
$1.20
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
$0.07
Median
$0.07
Typical High
$0.07
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 Indiana 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.

Indiana· 4th of 51

$1.12

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.