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Buprenorphine/Naloxone, Oral, 10 mg

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $7.08 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$16.98$15.49 to $18.62
FacilityA hospital or hospital-owned outpatient department$7.08$7.08 to $18.62

How much rates vary

Facilitymedian $7 · 10th to 90th $7 to $24Professionalmedian $17 · 10th to 90th $15 to $21
$0.2$1$5$20$100facility $7professional $17

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
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$20.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$23.99
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$20.42
Sanford Health Plan
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
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$17.38
Typical High
$19.95
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08

Where South Dakota 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 Dakota· 5th 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.