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Buprenorphine/Naloxone, Oral, 6 mg

New Jersey 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?

$7.94

Typical negotiated rate. In New Jersey, 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 $12.02 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$7.94$7.76 to $8.32
FacilityA hospital or hospital-owned outpatient department$12.02$10.00 to $19.95

How much rates vary

Facilitymedian $12 · 10th to 90th $8 to $9,333Professionalmedian $8 · 10th to 90th $7 to $12
$10$100$1K$10Kfacility $12professional $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
$8.32
Median
$12.02
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.76
Typical High
$11.75
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$9.33
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.13
Typical High
$13.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.71
Typical High
$8.71
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$12,302.69
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$3.72
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$9.33
Typical High
$9.77

Where New Jersey 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 Jersey· 17th of 51

$7.94

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.