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Buprenorphine/Naloxone, Oral, 6 mg

Illinois rates for HCPCS J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral, 6 mg cost?

$7.59

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $14.13 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 $8.13
FacilityA hospital or hospital-owned outpatient department$14.13$7.41 to $16.22

How much rates vary

Facilitymedian $14 · 10th to 90th $7 to $24Professionalmedian $7 · 10th to 90th $7 to $11
$10$20$50$100facility $14professional $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
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$9.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$44.67
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$11.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$13.80
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
$0.93
Median
$8.91
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$9.55

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· 47th of 51

$7.59

LA $9.33NE $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.