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Methadone Injection

New York rates for HCPCS J1230

Injection, methadone HCl, up to 10 mg

Rates data updated July 2026.

How much does Methadone Injection cost?

$17.38per 10 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $17.38 for each 10 mg of this drug. The price depends on where it is billed: about $14.79 from a physician practice, and about $20.42 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
$14.79
At a hospital outpatient department
$20.42

The same drug, in the same amount, costs 38% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$14.79$14.79 to $17.78
FacilityA hospital or hospital-owned outpatient department$20.42$16.22 to $30.90

How much rates vary

Facilitymedian $20 · 10th to 90th $15 to $54Professionalmedian $15 · 10th to 90th $15 to $28
$5$10$20$50$100facility $20professional $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
$21.88
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$18.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$63.10
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$16.60
Typical High
$50.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$26.92
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$20.42
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$14.13
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.42
Typical High
$44.67
Univera
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$22.91
Univera
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$19.50
Typical High
$23.44

Where New York 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.

New York· 27th of 51

$17.38

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.