go back

Buprenorphine/Naloxone, Oral, 6 mg

Virginia 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 Virginia, 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 $9.33 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$7.94 to $7.94
FacilityA hospital or hospital-owned outpatient department$9.33$7.94 to $16.98

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $21Professionalmedian $8 · 10th to 90th $8 to $9
$0.5$1$2$5$10$20facility $9professional $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
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.94
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$11.48
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.91
Typical High
$10.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$9.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$8.91
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.33
Typical High
$9.33

Where Virginia 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.

Virginia· 11th 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.