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Buprenorphine/Naloxone, Oral (up to 3 mg)

New York 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 New York, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $4.17 from a physician practice, and about $3.80 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$4.17$3.80 to $4.90
FacilityA hospital or hospital-owned outpatient department$3.80$3.39 to $4.90

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $9Professionalmedian $4 · 10th to 90th $3 to $6
$0.1$0.5$2$10facility $4professional $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
$3.24
Median
$3.80
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$3.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.47
Typical High
$8.71
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.63
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$4.90
Typical High
$7.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.90
Typical High
$6.03
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$4.90
Typical High
$4.90
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$5.75
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$6.17
Typical High
$7.94
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$4.07
Typical High
$4.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$4.90
Typical High
$4.90

Where New York 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.

New York· 26th of 51

$3.98

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.