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Buprenorphine/Naloxone, Oral, 10 mg

Massachusetts 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?

$15.85

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $19.50 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$15.85$15.85 to $15.85
FacilityA hospital or hospital-owned outpatient department$19.50$17.78 to $25.70

How much rates vary

Facilitymedian $19 · 10th to 90th $16 to $47Professionalmedian $16 · 10th to 90th $16 to $20
$10$50$200$1K$5Kfacility $19professional $16

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
$15.85
Median
$25.70
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$38.90
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$15.49
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$20.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$26.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$38.90
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$15.49
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$6.92
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$15.85
Typical High
$17.38

Where Massachusetts 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.

Massachusetts· 26th of 51

$15.85

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.