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Opiate Drug Test, Definitive

North Carolina rates for HCPCS 80361

Identifies and measures opiates, the group of pain-relieving drugs that includes morphine and codeine, and names which ones are actually present in a sample. A rapid screening check can only suggest that something in the group may be there; this test settles the question and reports the amount.

Rates data updated July 2026.

How much does Opiate Drug Test, Definitive cost?

$16.22

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $41.69 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 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$14.45$12.02 to $24.55
FacilityA hospital or hospital-owned outpatient department$41.69$20.89 to $151

How much rates vary

Facilitymedian $42 · 10th to 90th $10 to $151Professionalmedian $14 · 10th to 90th $11 to $32
$0.1$1.0$10.0$100.0facility $42professional $14

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
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$11.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$25.12
Typical High
$36.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$31.62
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$31.62
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where North Carolina sits

The same service costs 2630.3 times more in North Dakota than in New Jersey. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $16.22 · 25th of 51
ND $79.43NJ $0.03

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.