go back

Buprenorphine/Naloxone, Oral, 10 mg

North Carolina 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 North Carolina, 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 $15.85 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 5 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$15.85$15.85 to $18.62

How much rates vary

Facilitymedian $16 · 10th to 90th $16 to $20Professionalmedian $16 · 10th to 90th $16 to $18
$0.2$1$5$20$100facility $16professional $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
$15.85
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$20.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$6.92
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$17.38
Typical High
$17.38
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North 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.

North Carolina· 21st 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.