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Buprenorphine/Naloxone, Oral, 6 mg

Pennsylvania 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 Pennsylvania, 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 $12.30 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 9 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$7.94 to $7.94
FacilityA hospital or hospital-owned outpatient department$12.30$8.71 to $19.50

How much rates vary

Facilitymedian $12 · 10th to 90th $8 to $22Professionalmedian $8 · 10th to 90th $8 to $9
$5$10$20$50$100$200facility $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
$7.94
Median
$14.13
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$11.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.71
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
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
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$20.89
Typical High
$27.54
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$151.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$14.13
Typical High
$21.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$3.72
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$9.33
Typical High
$10.72

Where Pennsylvania 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.

Pennsylvania· 30th 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.