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Methadone Injection

Illinois rates for HCPCS J1230

Injection, methadone HCl, up to 10 mg

Rates data updated July 2026.

How much does Methadone Injection cost?

$17.78per 10 mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $17.78 for each 10 mg of this drug. The price depends on where it is billed: about $15.14 from a physician practice, and about $25.70 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$15.14
At a hospital outpatient department
$25.70

The same drug, in the same amount, costs 70% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 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$15.14$14.79 to $19.50
FacilityA hospital or hospital-owned outpatient department$25.70$15.14 to $33.11

How much rates vary

Facilitymedian $26 · 10th to 90th $15 to $55Professionalmedian $15 · 10th to 90th $15 to $26
$5$10$20$50$100$200facility $26professional $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
$14.79
Median
$25.70
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$23.44
Typical High
$50.12
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$18.62

Where Illinois sits

The same service costs 1.9 times more in Colorado than in Vermont. 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.

Illinois· 21st of 51

$17.78

CO $28.84VT $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.