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Butorphanol Injection

Pennsylvania rates for HCPCS J0595

Injection, butorphanol tartrate, 1 mg

Rates data updated July 2026.

How much does Butorphanol Injection cost?

$6.46per mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6.46 for each mg of this drug. The price depends on where it is billed: about $6.17 from a physician practice, and about $10.23 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$6.17
At a hospital outpatient department
$10.23

The same drug, in the same amount, costs 66% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 8 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$6.17$6.17 to $6.61
FacilityA hospital or hospital-owned outpatient department$10.23$6.17 to $14.45

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $18Professionalmedian $6 · 10th to 90th $5 to $8
$5$10$20facility $10professional $6

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
$4.90
Median
$11.22
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$7.76
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$6.61
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$21.38
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.72
Typical High
$10.72
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$45.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$9.55
Typical High
$19.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$6.17
Typical High
$12.30
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$7.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.07
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$9.55

Where Pennsylvania sits

The same service costs 6.3 times more in Wyoming than in Oklahoma. 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.

Pennsylvania· 22nd of 51

$6.46

WY $20.42OK $3.24

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.