How much does Vivitrol (naltrexone) cost?

$4.57per mg

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $4.57 for each mg of this drug. The price depends on where it is billed: about $4.27 from a physician practice, and about $8.51 from a hospital or other facility.

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.

Amount givenmg

In a doctor's office or clinic: $4.27
At a hospital outpatient department: $8.51

The same drug, in the same amount, costs 100% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$4.27	$3.98 to $4.57
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$8.51	$4.57 to $10.23

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $12Professionalmedian $4 · 10th to 90th $4 to $6

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57	Facility	None	$4.57	$4.57	$4.57
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57	Professional	None	$4.57	$4.57	$4.57
CareFirst Setting Professional Modifier None Typical Low $3.98 Median $4.27 Typical High $4.27	Professional	None	$3.98	$4.27	$4.27
Cigna Setting Facility Modifier None Typical Low $6.92 Median $9.33 Typical High $15.85	Facility	None	$6.92	$9.33	$15.85
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.75	Professional	None	$4.57	$4.57	$5.75
Kaiser Permanente Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $4.57	Professional	None	$3.89	$3.89	$4.57
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57	Facility	None	$4.57	$4.57	$4.57
United Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $7.08	Professional	None	$4.27	$4.27	$7.08

Where Washington, DC sits

The same service costs 1.7 times more in Alaska than in Nebraska. 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.

Washington, DC· 23rd of 51

$4.57

AK $7.41NE $4.27

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.