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

New York 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 New York, 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 $7.41 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$7.94$7.41 to $8.91
FacilityA hospital or hospital-owned outpatient department$7.41$5.01 to $9.33

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $14Professionalmedian $8 · 10th to 90th $6 to $11
$0.5$1$2$5$10$20$50facility $7professional $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
$0.33
Median
$7.41
Typical High
$13.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.41
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.91
Typical High
$16.98
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$7.08
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.32
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$12.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.41
Typical High
$8.51
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$7.41
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.41
Typical High
$7.41
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$9.55
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$10.23
Typical High
$11.48
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.01
Typical High
$7.41
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.41
Typical High
$7.41

Where New York 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.

New York· 5th 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.