go back

Inherited Opioid Dependence Risk Panel

North Carolina rates for HCPCS 0078U

Estimates a person's inherited susceptibility to opioid use disorder. It examines 16 variants across genes involved in opioid and brain signaling — OPRM1, OPRK1, COMT, DRD2, DRD4, HTR2A, ABCB1 and MTHFR — in cells collected on a swab, and reports a risk classification.

Rates data updated July 2026.

How much does Inherited Opioid Dependence Risk Panel cost?

$1,096

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $871 to $2,239.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,096 to $1,096Professionalmedian $2,239 · 10th to 90th $447 to $2,239
$500$1K$2Kfacility $1,096professional $2,239

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medcost
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$870.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72

Where North Carolina sits

The same service costs 12.3 times more in New Jersey than in Utah. 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.

North Carolina· 4th of 40

$1,096

NJ $3,311UT $269

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.