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Buprenorphine/Naloxone, Oral (up to 3 mg)

South Dakota 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?

$4.68

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $4.68 from a physician practice, and about $1.12 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 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$4.68$3.98 to $4.90
FacilityA hospital or hospital-owned outpatient department$1.12$1.12 to $4.68

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $6Professionalmedian $5 · 10th to 90th $4 to $6
$0.1$1.0$10.0$100.0facility $1professional $5

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
$4.68
Typical High
$4.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$4.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$6.03
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.46
Typical High
$7.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$2.45
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.17
Typical High
$7.08
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12

Where South Dakota 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.

South Dakota $4.68 · 4th 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.