Bicycle Health
Most insurance acceptedApp-based buprenorphine (Suboxone) treatment for opioid use disorder, with most insurance and Medicaid accepted across many states.
MedicaidInsuranceSelf-pay
Available across many states
Suboxone Clinics With Sliding Scale Fees
Some clinics set their fee by what you earn rather than charging everyone the same. If you have no coverage and cannot manage a flat cash price, this is the list to start with. Browse 6,448 verified clinics and online providers that offer a sliding fee scale, or pick your state below.
By state
Clinics that offer a sliding fee scale, by state
New York557California399Ohio363Illinois362Florida274Texas266Kentucky218Michigan213Indiana208Pennsylvania176Colorado173Missouri171Maryland167New Jersey165Iowa154Tennessee151Arizona149Connecticut127Virginia126Washington122Utah121North Carolina112Wisconsin108Oregon106Kansas106Georgia104Massachusetts100Minnesota92Arkansas91Idaho89Nebraska82Alabama71New Mexico70Louisiana69West Virginia64Nevada55Mississippi54Maine53Montana52Vermont49Oklahoma48New Hampshire36Alaska35South Carolina25South Dakota25Wyoming23Delaware17Rhode Island16North Dakota15District of Columbia10Hawaii9
Online options
Online providers that offer a sliding fee scale
National telehealth services, in the states where they operate.
Ophelia
Built only for opioid treatmentTelehealth built specifically for opioid use disorder. A licensed clinician manages your buprenorphine prescription; wide insurance including Medicaid, plus transparent self-pay.
MedicaidInsuranceSelf-pay
Available in many states
Klinic
Same-day appointmentsSame-day Suboxone telehealth appointments, with most insurance and Medicaid accepted.
MedicaidInsuranceSelf-paySame-day
Available in many states
Workit Health
Opioid + alcohol careTelehealth medication-assisted treatment for opioid and alcohol use, with app-based coaching. Insurance and Medicaid in select states.
MedicaidInsuranceSelf-pay
Select states
QuickMD
Fast, cash-payFast, cash-pay telehealth Suboxone visits with no insurance required. Same-day availability in many states.
Self-paySame-day
Available in many states
National telehealth providers. Coverage, accepted insurance, and pricing vary by state and change frequently. Confirm current details on each provider's own site before booking.
Paying for Suboxone with sliding scale pricing
What is a sliding fee scale? It means the clinic charges based on your income and household size rather than one fixed price, so a lower income means a lower fee. 6,448 clinics across 51 states report offering one. Federally qualified health centers are required to, and many other clinics choose to.
What do I need to bring to qualify? Usually proof of income and household size: recent pay stubs, a tax return, or a benefits letter. Ask exactly what they accept when you book, because arriving without the right document is the most common reason a first visit gets rescheduled.
Does the sliding scale cover the medication too? Often not. The scale usually applies to the visit, while buprenorphine is filled at a pharmacy and billed separately. Ask for generic buprenorphine and naloxone rather than brand-name Suboxone, and ask about a pharmacy discount card, since those are what actually lower the medication cost.
Should I check Medicaid first? Yes, if there is any chance you qualify. Medicaid covers buprenorphine treatment and usually costs less than even a reduced sliding scale fee. Check eligibility before committing to paying out of pocket long term.
Paying another way?
Medically reviewed by Daniel R. Karlin, MD, MA, board-certified psychiatrist and addiction medicine specialist.
Author of 21 peer-reviewed publications cited 1,355 times, including recent work in JAMA (2025) and the British Journal of Psychiatry (2023).
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