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

Illinois 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?

$7.41

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $14.79 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 6 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$7.41$7.41 to $7.94
FacilityA hospital or hospital-owned outpatient department$14.79$7.41 to $16.22

How much rates vary

Facilitymedian $15 · 10th to 90th $7 to $23Professionalmedian $7 · 10th to 90th $7 to $10
$10$20$50$100facility $15professional $7

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
$7.41
Median
$14.13
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$9.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$42.66
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$11.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$10.72
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$9.55
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.23
Typical High
$10.47

Where Illinois 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.

Illinois· 48th of 51

$7.41

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.