go back

Definitive Test For Tapentadol

North Carolina rates for HCPCS 80372

Identifies tapentadol, a prescription opioid painkiller, in a sample such as urine. Laboratory equipment names the exact substance present rather than flagging the opioid class as a whole. It is used to check that a prescribed medicine is being taken as directed, or to confirm a screening result.

Rates data updated July 2026.

How much does Definitive Test For Tapentadol cost?

$14.13

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $28.18 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 6 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$13.49$10.47 to $19.95
FacilityA hospital or hospital-owned outpatient department$28.18$20.42 to $151

How much rates vary

Facilitymedian $28 · 10th to 90th $8 to $151Professionalmedian $13 · 10th to 90th $10 to $25
$0.1$1$10$100facility $28professional $13

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
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
$20.42
Typical High
$32.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$22.91
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$21.38
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.48
Typical High
$22.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where North Carolina sits

The same service costs 2398.8 times more in North Dakota than in Illinois. 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· 25th of 51

$14.13

ND $72.44IL $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.