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Buprenorphine/Naloxone, Oral, 10 mg

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $25.12 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$15.49$15.49 to $15.85
FacilityA hospital or hospital-owned outpatient department$25.12$23.99 to $39.81

How much rates vary

Facilitymedian $25 · 10th to 90th $20 to $11,482Professionalmedian $15 · 10th to 90th $15 to $23
$10$100$1K$10Kfacility $25professional $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
$20.42
Median
$23.99
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.49
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$16.22
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$20.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.49
Typical High
$15.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$11,481.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$6.92
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$17.38
Typical High
$18.20

Where New Jersey 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.

New Jersey· 14th 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.