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Definitive Test for Buprenorphine

North Carolina rates for HCPCS 80348

A laboratory test that confirms whether buprenorphine — a medicine used to treat opioid dependence and, in some forms, pain — and its breakdown products are present in a sample, and can measure how much. Unlike a rapid screening cup, it identifies the specific substance rather than flagging a broad group. Results are used to check that a prescribed medicine is being taken as intended or to look into an unexpected screening result.

Rates data updated July 2026.

How much does Definitive Test for Buprenorphine cost?

$13.80

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $19.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 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$10.00$8.71 to $16.22
FacilityA hospital or hospital-owned outpatient department$19.50$9.77 to $48.98

How much rates vary

Facilitymedian $19 · 10th to 90th $0 to $50Professionalmedian $10 · 10th to 90th $9 to $21
$0.1$1$10$100facility $19professional $10

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$48.98
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$21.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$19.50
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$85.11

Where North Carolina sits

The same service costs 5888.4 times more in Montana than in Tennessee. 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· 24th of 51

$13.80

MT $117TN $0.02

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.