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Buprenorphine/Naloxone, Oral (up to 3 mg)

Ohio 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?

$4.47

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $4.47 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $9.12 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$3.98$3.80 to $5.01
FacilityA hospital or hospital-owned outpatient department$9.12$4.68 to $10.47

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $12Professionalmedian $4 · 10th to 90th $4 to $8
$5$10$20facility $9professional $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
$9.33
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.89
Typical High
$10.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$10.00
Typical High
$10.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.07
Typical High
$6.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$23.99
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
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
$6.17
Typical High
$6.17

Where Ohio 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.

Ohio· 6th of 51

$4.47

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.