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

Ohio 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?

$8.71

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $19.05 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 7 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 $10.00
FacilityA hospital or hospital-owned outpatient department$19.05$9.33 to $20.89

How much rates vary

Facilitymedian $19 · 10th to 90th $7 to $23Professionalmedian $8 · 10th to 90th $7 to $13
$5$10$20facility $19professional $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
$7.41
Median
$20.42
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.59
Typical High
$20.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.13
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$23.99
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$10.23
Typical High
$10.23

Where Ohio 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.

Ohio· 4th of 51

$8.71

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.