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Buprenorphine/Naloxone, Oral, 6 mg

Kentucky 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?

$7.76

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $9.12 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 $7.76
FacilityA hospital or hospital-owned outpatient department$9.12$9.12 to $9.12

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $9Professionalmedian $7 · 10th to 90th $7 to $8
$5$10$20$50facility $9professional $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
$10.47
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$9.12
Typical High
$9.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$44,668.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$51,286.14
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$3.72
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$9.33
Typical High
$9.33

Where Kentucky 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.

Kentucky· 43rd of 51

$7.76

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.