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Buprenorphine/Naloxone, Oral (up to 3 mg)

Massachusetts 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?

$3.98

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.98 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 9 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$3.98$3.98 to $4.37
FacilityA hospital or hospital-owned outpatient department$4.68$4.47 to $6.46

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $12Professionalmedian $4 · 10th to 90th $4 to $6
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$6.31
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$10.96
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$5.25
Typical High
$6.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.79
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$6.61
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$10.96
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$5.25
Typical High
$6.17
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$5.25
Typical High
$6.17

Where Massachusetts sits

The same service costs 1.6 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $3.98 · 34th of 51
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.