go back

Buprenorphine/Naloxone, Oral (over 3 to 6 mg)

Connecticut rates for HCPCS J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral (over 3 to 6 mg) cost?

$7.94

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $15.85 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 4 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$7.94$6.46 to $7.94
FacilityA hospital or hospital-owned outpatient department$15.85$11.48 to $25.70

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $26Professionalmedian $8 · 10th to 90th $6 to $9
$0.1$0.5$2$10facility $16professional $8

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
$10.00
Median
$16.98
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.94
Typical High
$7.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$25.70
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$17.38
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$4.07
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$9.33
Typical High
$10.47

Where Connecticut sits

Rates are fairly even across states for this service. 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.

Connecticut· 20th of 51

$7.94

HI $10.23MO $7.41

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.