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Buprenorphine, Oral

Pennsylvania rates for HCPCS J0571

Buprenorphine, oral, 1 mg

Rates data updated July 2026.

How much does Buprenorphine, Oral cost?

$0.39per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.39 for each mg of this drug. The price depends on where it is billed: about $0.39 from a physician practice, and about $0.78 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
$0.39
At a hospital outpatient department
$0.78

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$0.39$0.39 to $0.39
FacilityA hospital or hospital-owned outpatient department$0.78$0.58 to $1.12

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $2Professionalmedian $0 · 10th to 90th $0 to $0
$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
$0.39
Median
$0.78
Typical High
$2.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$0.87
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$1.38
Typical High
$1.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$0.39
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$1.29
Typical High
$3.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.66
Typical High
$2.19
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.39
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$0.27
Median
$0.27
Typical High
$0.49

Where Pennsylvania 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.

Pennsylvania· 23rd of 51

$0.39

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.