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Buprenorphine/Naloxone, Oral (up to 3 mg)

Idaho rates for HCPCS J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral (up to 3 mg) cost?

$4.07

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $4.68 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 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$4.07$3.98 to $4.68
FacilityA hospital or hospital-owned outpatient department$4.68$3.98 to $4.68

How much rates vary

Facilitymedian $5 · 10th to 90th $1 to $6Professionalmedian $4 · 10th to 90th $4 to $5
$1$2$5$10facility $5professional $4

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. 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
Global
Typical Low
$1.32
Median
$4.68
Typical High
$4.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$4.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$6.17
Typical High
$16.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.90
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$5.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.90
Typical High
$6.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.41
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.01
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$2.45
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$6.17
Typical High
$6.17

Where Idaho sits

The same service costs 1.6 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.

Idaho· 10th of 51

$4.07

HI $6.17NE $3.80

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.