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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 July 2026.

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

$3.80

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $7.59 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 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$3.80$3.80 to $4.17
FacilityA hospital or hospital-owned outpatient department$7.59$3.80 to $8.32

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $14Professionalmedian $4 · 10th to 90th $4 to $8
$5$10$20$50facility $8professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$7.08
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$22.39
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$5.75
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.12
Typical High
$11.48
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$5.75
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.17
Typical High
$6.31

Where Illinois 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.

Illinois· 47th of 51

$3.80

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.