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Buprenorphine/Naloxone, Oral (up to 3 mg)

South Carolina 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 South Carolina, 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 $3.89 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 5 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$3.89 to $3.98
FacilityA hospital or hospital-owned outpatient department$3.89$3.02 to $5.25

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $14Professionalmedian $4 · 10th to 90th $4 to $6
$0.1$0.2$0.5$1$2$5$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
$3.89
Median
$3.89
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.72
Typical High
$6.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.98
Typical High
$4.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.50
Typical High
$7.08
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$2.45
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$6.17
Typical High
$6.17

Where South Carolina 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.

South Carolina· 29th 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.