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Buprenorphine/Naloxone, Oral, 10 mg

Ohio 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?

$16.98

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $38.90 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 7 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$14.79 to $19.05
FacilityA hospital or hospital-owned outpatient department$38.90$18.62 to $41.69

How much rates vary

Facilitymedian $39 · 10th to 90th $15 to $47Professionalmedian $16 · 10th to 90th $14 to $26
$10$20$50facility $39professional $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
$14.79
Median
$40.74
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.22
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$20.89
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$47.86
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
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
$17.38
Typical High
$17.38

Where Ohio 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.

Ohio· 4th of 51

$16.98

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.