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Buprenorphine/Naloxone, Oral, 10 mg

South 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 South 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 $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 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$15.85$15.14 to $15.85
FacilityA hospital or hospital-owned outpatient department$19.50$15.14 to $30.20

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $55Professionalmedian $16 · 10th to 90th $15 to $18
$0.2$1$5$20facility $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
$15.14
Median
$15.14
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$20.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.85
Typical High
$18.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$16.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$22.91
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

Where South 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.

South Carolina· 30th 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.