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Buprenorphine, Oral

North Carolina rates for HCPCS J0571

Buprenorphine, oral, 1 mg

Rates data updated July 2026.

How much does Buprenorphine, Oral cost?

$0.54per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $0.54 for each mg of this drug. The price depends on where it is billed: about $0.54 from a physician practice, and about $0.62 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
$0.54
At a hospital outpatient department
$0.62

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$0.54$0.39 to $0.54
FacilityA hospital or hospital-owned outpatient department$0.62$0.54 to $2.24

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $3Professionalmedian $1 · 10th to 90th $0 to $1
$0.2$1.0$5.0$20.0$100.0facility $1professional $1

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
$0.39
Median
$0.62
Typical High
$2.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.54
Typical High
$2.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.40
Median
$0.79
Typical High
$0.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.44
Median
$0.59
Typical High
$0.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.39
Typical High
$0.39
Medcost
Setting
Facility
Modifier
Global
Typical Low
$0.27
Median
$0.54
Typical High
$0.65
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.04
Typical High
$2.34
United
Setting
Professional
Modifier
Global
Typical Low
$0.27
Median
$0.27
Typical High
$0.37
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00

Where North Carolina sits

The same service costs 19.1 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $0.54 · 11th of 51
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.