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Buprenorphine/Naloxone, Oral (up to 3 mg)

Illinois rates for HCPCS J0572

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

Rates data updated October 2026.

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

$5.89

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $5.89 for this service. Most negotiated rates run $3.98 to $9.12.

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.

How much rates vary

Facilitymedian $14 · 10th to 90th $4 to $35Professionalmedian $6 · 10th to 90th $4 to $30
$5$10$20$50facility $14professional $6

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
$3.80
Median
$6.46
Typical High
$13.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$3.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.86
Median
$1.86
Typical High
$2.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.76
Median
$0.76
Typical High
$0.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.56
Median
$0.56
Typical High
$0.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.38
Median
$0.38
Typical High
$0.40
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$16.98
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$5.75
Hally Health
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$8.71
Typical High
$9.77
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.89
Typical High
$6.61

Where Illinois sits

The same service costs 5.9 times more in Hawaii than in Arkansas. 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.

Illinois· 6th of 51

$5.89

HI $6.61AR $1.12

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.