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Buprenorphine/Naloxone, Oral, 10 mg

Illinois rates for HCPCS J0575

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Rates data updated July 2026.

How much does Buprenorphine/Naloxone, Oral, 10 mg cost?

$14.79

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $29.51 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$14.79$14.79 to $16.22
FacilityA hospital or hospital-owned outpatient department$29.51$14.79 to $32.36

How much rates vary

Facilitymedian $30 · 10th to 90th $15 to $47Professionalmedian $15 · 10th to 90th $15 to $30
$10$20$50$100$200facility $30professional $15

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
$14.79
Median
$28.18
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$89.13
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.85
Typical High
$20.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$36.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$15.85
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.38
Typical High
$17.78

Where Illinois 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.

Illinois· 50th of 51

$14.79

LA $18.62MO $14.79

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.