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Buprenorphine/Naloxone, Oral (up to 3 mg)

Pennsylvania 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 Pennsylvania, 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 $6.46 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 7 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 $3.98
FacilityA hospital or hospital-owned outpatient department$6.46$5.25 to $7.94

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $11Professionalmedian $4 · 10th to 90th $4 to $6
$5$10$20facility $6professional $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
$6.46
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.79
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.90
Typical High
$4.90
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$6.46
Typical High
$11.22
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$2.45
Typical High
$3.09
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$6.17
Typical High
$7.08

Where Pennsylvania 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.

Pennsylvania· 30th 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.