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Buprenorphine, Oral

Kentucky rates for HCPCS J0571

Buprenorphine, oral, 1 mg

Rates data updated July 2026.

How much does Buprenorphine, Oral cost?

$1.23per mg

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1.23 for each mg of this drug. The price depends on where it is billed: about $0.38 from a physician practice, and about $1.45 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.38
At a hospital outpatient department
$1.45

The same drug, in the same amount, costs 280% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.38$0.37 to $0.76
FacilityA hospital or hospital-owned outpatient department$1.45$0.78 to $1.45

How much rates vary

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

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
$0.37
Median
$0.52
Typical High
$2.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.37
Median
$0.37
Typical High
$0.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.45
Median
$1.45
Typical High
$1.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.63
Median
$0.76
Typical High
$0.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$52,480.75
Typical High
$56,234.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$0.27
Median
$0.27
Typical High
$0.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.44
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$2.04
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$0.27
Median
$0.27
Typical High
$0.27

Where Kentucky sits

The same service costs 19.1 times more in Hawaii than in Nebraska. 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.

Kentucky· 4th of 51

$1.23

HI $7.08NE $0.37

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.