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Inherited Opioid Dependence Risk Panel

Wisconsin 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?

$1,122

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,318 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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$977$891 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,318$1,122 to $1,514

How much rates vary

Facilitymedian $1,318 · 10th to 90th $1,096 to $2,089Professionalmedian $977 · 10th to 90th $550 to $2,239
$1K$2Kfacility $1,318professional $977

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,230.27
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$2,238.72
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,174.90
Quartz
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,096.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$812.83

Where Wisconsin 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.

Wisconsin· 3rd of 40

$1,122

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.