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Buprenorphine/Naloxone, Oral (up to 3 mg)

Texas 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?

$3.89

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $6.61 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$3.89$3.80 to $3.98
FacilityA hospital or hospital-owned outpatient department$6.61$3.89 to $10.23

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $24Professionalmedian $4 · 10th to 90th $1 to $5
$1$2$5$10$20$50$100facility $7professional $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
$6.61
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.89
Typical High
$4.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$7.08
Typical High
$14.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.27
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.98
Typical High
$4.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.98
Typical High
$4.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.98
Typical High
$4.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.98
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$6.17
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$6.17
Typical High
$6.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$5.37

Where Texas 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.

Texas· 41st of 51

$3.89

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.