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Buprenorphine/Naloxone, Oral, 6 mg

Ohio 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?

$8.51

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $11.75 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 8 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 $9.55
FacilityA hospital or hospital-owned outpatient department$11.75$7.59 to $20.42

How much rates vary

Facilitymedian $12 · 10th to 90th $6 to $23Professionalmedian $8 · 10th to 90th $7 to $14
$5$10$20facility $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
$5.62
Median
$15.14
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.59
Typical High
$20.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$15.14
Typical High
$15.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.94
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
Facility
Modifier
Global
Typical Low
$3.98
Median
$12.30
Typical High
$12.30
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.94
Typical High
$7.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.12
Typical High
$35.48
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$9.33
Typical High
$9.33

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· 7th of 51

$8.51

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.