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Buprenorphine/Naloxone, Oral, 6 mg

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $7.59 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$7.59 to $7.94
FacilityA hospital or hospital-owned outpatient department$7.59$5.37 to $9.33

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $28Professionalmedian $8 · 10th to 90th $8 to $10
$0.1$0.5$2$10facility $8professional $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
$7.59
Median
$7.59
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$9.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$6.61
Typical High
$12.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$9.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$3.72
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$9.33
Typical High
$9.33

Where South Carolina 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.

South Carolina· 46th 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.