TRUSTED CONTENTRehab in North Carolina costs roughly $40 to $900 a day before insurance. Treatment centers across the state quoted RehabSeekers.com $6,000–$27,000 a month for residential care, $220–$700 a day for medical detox, $7,000–$14,000 a month for partial hospitalization (PHP), $2,500–$9,000 a month for intensive outpatient (IOP) and $1,200–$5,000 for standard outpatient therapy.
Original data: these are not figures pulled from other websites. RehabSeekers.com commissioned a team of researchers to phone treatment centers in all 50 states, North Carolina included, and record what each level of care costs in 2027. NC Medicaid, the state’s LME/MCO system and private insurance can bring your share far below these prices. See how the prices were gathered.
North Carolina rehab prices per day
Lowest to highest daily quote for each level of care, before insurance. Residential care tops out near $900 a day.
Source: RehabSeekers.com Rehab Cost Survey, 2027 prices from North Carolina treatment centers.
On this page
- North Carolina vs. the national median
- Prices for each level of care
- NC Medicaid and what you pay
- Medicaid changes in 2027
- Cost estimator
- Treatment without insurance
- State-run detox centers
- Private insurance rules
- Detox, residential, PHP, IOP, outpatient
- A full course of care
- Virginia, Tennessee, Georgia and South Carolina
- Payment routes side by side
- Paying less
- Opioid settlement funds
- Treatment centers in North Carolina
- Need and overdose deaths
- How we got the prices
- FAQs
Is rehab in North Carolina more expensive than the national average?
No, it matches it. North Carolina’s typical residential price of $16,500 a month is right at the national median, with 21 states charging more and 21 charging less. Residential treatment and standard outpatient care sit right at the national median and medical detox, partial hospitalization, and intensive outpatient care come in a little under it.
North Carolina’s place in the national rankings
- North Carolina is a true middle-of-the-road state for residential rehab. Its typical price, $16,500 a month, equals the national median: 21 states charge more and 21 charge less.
- IOP sits furthest below the national median: at $5,750 a month, it is 4% under the median, and 29 states cost more.
- Standard outpatient care costs $3,100 a month, right at the national median; 19 states charge more for it.
- In the Southeast, North Carolina sits in the middle. Residential care is $1,000 a month cheaper in Georgia and South Carolina but $500 a month more expensive in Virginia.
| Level of care | Typical price | vs. U.S. median | Rank among 50 states | Cheapest neighbor |
|---|---|---|---|---|
| Medical detox | $460 a day | 3% below the U.S. median | 28 states cost more, 8 cost less, 13 the same | Tied with Georgia, South Carolina and Tennessee ($460 a day) |
| Residential | $16,500 a month | At the U.S. median | 21 states cost more, 21 cost less, 7 the same | Georgia and South Carolina (tied), $15,500 a month ($1,000 less) |
| PHP | $10,500 a month | 2% below the U.S. median | 27 states cost more, 20 cost less, 2 the same | Georgia and South Carolina (tied), $10,250 a month ($250 less) |
| IOP | $5,750 a month | 4% below the U.S. median | 29 states cost more, 12 cost less, 8 the same | Tied with Georgia and South Carolina ($5,750 a month) |
| Standard outpatient | $3,100 a month | At the U.S. median | 19 states cost more, 12 cost less, 18 the same | Tied with Georgia, South Carolina, Tennessee and Virginia ($3,100 a month) |
Typical prices are range midpoints from the RehabSeekers.com Rehab Cost Survey, 2027 prices. States with equal prices are counted as tied. See rehab costs in all 50 states.
The spread inside the state matters more than the gap with the nation. The cheapest residential quote in our North Carolina survey was $6,000 a month and the most expensive was $27,000, so two programs a short drive apart can differ by $21,000 for the same month of care.
What does each level of rehab cost in North Carolina?
Price tracks intensity. A month with round-the-clock care in a residential program costs $6,000–$27,000; full-day treatment in PHP costs $7,000–$14,000; IOP, a few hours several days a week, costs $2,500–$9,000; and one or two counseling sessions a week cost $1,200–$5,000 a month. Detox is quoted per day, at $220–$700.
| Level of care | Cost per day | Cost per month | Typical (midpoint) | Typical length |
|---|---|---|---|---|
| Medical detox | $220–$700 | $6,500–$21,000 | $460 a day | 3–10 days |
| Residential (inpatient) | $200–$900 | $6,000–$27,000 | $16,500 a month | 30–90 days |
| Partial hospitalization (PHP) | $230–$470 | $7,000–$14,000 | $10,500 a month | 2–4 weeks |
| Intensive outpatient (IOP) | $80–$300 | $2,500–$9,000 | $5,750 a month | 4–12 weeks |
| Standard outpatient | $40–$170 | $1,200–$5,000 | $3,100 a month | 3 months or longer |
Source: RehabSeekers.com Rehab Cost Survey, 2027 prices before insurance. The typical figure is the midpoint between the lowest and highest North Carolina quote; a month is 30 days.
Does NC Medicaid pay for rehab, and what will you owe?
Yes, and for most members the answer to the second question is nothing in copays. NC Medicaid exempts behavioral health services, and drugs used to treat opioid use disorder, from its copays. Other services, such as many doctor visits and prescriptions, carry a $4 copay.
North Carolina expanded Medicaid on December 1, 2023 to adults ages 19 through 64 with incomes up to 138% of the federal poverty line. You can apply online through ePASS, at your county Department of Social Services or through HealthCare.gov. Once enrolled, you get your benefits through one of two kinds of plan:
| Route | Who it serves | Who runs it |
|---|---|---|
| NC Medicaid Standard Plans | Most Medicaid members | AmeriHealth Caritas North Carolina, Carolina Complete Health, Healthy Blue of North Carolina, UnitedHealthcare of North Carolina |
| Behavioral Health I/DD Tailored Plans | People with serious mental illness, severe substance use disorder, I/DD or TBI | Run by the LME/MCOs: Alliance Health, Trillium Health Resources and Vaya Partners |
| State-funded services (no Medicaid) | People without Medicaid who meet benefit-plan criteria | Also managed by the same three LME/MCOs, by county |
Tailored Plans, which launched on July 1, 2024, are designed for people whose needs are more complex, including those with a severe substance use disorder. On October 1, 2026, Vaya Health and Partners Health Management merged into Vaya Partners, which NC Medicaid described as mainly a name change.
Which addiction services NC Medicaid covers
NC Medicaid’s clinical coverage policies spell out each level of care, including opioid treatment programs (policy 8A-9). New stand-alone substance use policies took effect on January 1, 2026. The table pairs each Medicaid service with the closest level in our price survey, so you can see what the same care would cost you without coverage.
| NC Medicaid service | Coverage policy | Closest level in our survey | Self-pay price in North Carolina |
|---|---|---|---|
| Medically monitored inpatient withdrawal management | Policy 8A-11 | Medical detox | $220–$700 a day |
| Residential treatment, ASAM 3.1, 3.3, 3.5 and 3.7 | Policies 8D-3 to 8D-6 | Residential | $6,000–$27,000 a month |
| Substance abuse comprehensive outpatient treatment (SACOT), ASAM 2.5 | Policy 8A-13 | Partial hospitalization | $7,000–$14,000 a month |
| Substance abuse intensive outpatient program (SAIOP), ASAM 2.1 | Policy 8A-12 | Intensive outpatient | $2,500–$9,000 a month |
Service names: NC Medicaid clinical coverage policies. Prices: RehabSeekers.com Rehab Cost Survey, 2027, before insurance. Member copay for these behavioral health services: none.
Medicaid can pay for residential treatment in larger facilities under the NC Medicaid Reform Demonstration, a federal waiver that CMS renewed from December 10, 2024 through December 9, 2029. It includes authority for residential and inpatient treatment for people with a substance use disorder. See rehabs that accept Medicaid.
What changes for NC Medicaid members in 2027?
Starting January 1, 2027, most adults ages 19 through 64 on NC Medicaid will renew every 6 months instead of once a year, and must log 80 hours a month of work or other approved activities (or earn at least $580 a month). People in a drug or alcohol treatment and rehabilitation program, and people with a substance use disorder, do not have to meet the work requirement.
- Keep proof of treatment. Exempt members may still need to provide documents.
- Watch renewal dates. Missing a 6-month renewal could leave you facing the self-pay prices on this page.
- Expansion has a trigger. State law, G.S. 108A-54.3C, says expansion coverage is to be discontinued as expeditiously as possible if the federal share falls below 90%. NC Medicaid is preparing the 2027 rules for the expansion group, so coverage continues for now.
Estimate your rehab cost in North Carolina
Choose a type of care and drag the slider to your expected length of stay. Detox is figured from the North Carolina daily rate, for up to 14 days. Residential, PHP, IOP and outpatient estimates take the North Carolina monthly price and spread it over the number of days you choose.
Estimates before insurance. Check which levels of care a program offers.
How can you get rehab in North Carolina without insurance?
Through your county’s LME/MCO. These local-government area authorities manage publicly funded mental health and substance use services for the NCDHHS Division of Mental Health, Developmental Disabilities and Substance Use Services. North Carolina has three: Alliance Health, Trillium Health Resources and Vaya Partners.
State law protects people who can’t pay. Under G.S. 122C-146, an area authority sets a co-payment schedule based on family income, and no individual may be refused services because of an inability to pay. Public funding goes to people who fit one of the state’s benefit plans:
| Benefit plan | Who it covers |
|---|---|
| ASTER | Adults 18 and older with a primary substance use disorder |
| ASWOM | Pregnant or parenting women |
| ASCDR | People who inject drugs or have a communicable disease |
| ASOUD | People 16 and older with opioid use disorder |
| ASTIM | People with stimulant use disorder |
| ASCSP | People on probation or parole |
Source: NCDHHS benefit plan eligibility criteria, revised July 1, 2026.
The state publishes service definitions for state-funded care that include SACOT, non-medical community residential treatment and withdrawal management. Your LME/MCO connects you with a contracted provider. In our directory you can filter for state-funded and sliding-scale programs, and RehabSeekers.com also lists private centers that offer self-pay rates.
North Carolina’s state-run detox centers
NCDHHS runs two Alcohol and Drug Abuse Treatment Centers (ADATCs): Julian F. Keith in Black Mountain and Walter B. Jones in Greenville. They provide short-term, medically monitored detox and crisis stabilization for adults, along with inpatient opioid treatment and perinatal programs. Admission is open to any adult in North Carolina regardless of financial resources or insurance status; the daily rate is on a sliding scale, and Medicaid, Medicare and health insurance can be applied. A third center, R.J. Blackley, closed on March 1, 2023.
What does North Carolina law say about insurance coverage for rehab?
North Carolina handles addiction coverage in its own statute. G.S. 58-51-50 requires insurers of insured group plans to offer chemical dependency coverage that carries the same durational limits, dollar limits, deductibles and coinsurance as coverage for physical illness generally.
- Dollar minimums: the statute sets a minimum benefit of $8,000 a year and $16,000 over the life of the policy. These are floors, not caps. At North Carolina residential prices of $200–$900 a day, $8,000 pays for roughly 9 to 40 days.
- The group can decline it: the requirement does not apply to a group policyholder that rejects the coverage in writing, and state law does not reach self-funded employer plans.
- Separate from mental health parity: North Carolina’s mental illness parity law, G.S. 58-3-220, excludes substance-related disorders, which is why chemical dependency has its own section.
- Federal rules add more: all Marketplace plans cover substance use disorder treatment as an essential health benefit, with parity protections on deductibles, visit limits and prior authorization.
Look up programs by carrier on our insurance pages, or see what Medicare covers if you are 65 or older or have a disability.
Detox, residential, PHP, IOP and outpatient: North Carolina prices in detail
Medical detox: $220–$700 a day
A detox stay usually runs 3 to 10 days, with staff monitoring withdrawal around the clock. Medication, a bed and meals are normally included; lab tests may be billed on top. Supervision matters most when withdrawing from alcohol, benzodiazepines or opioids.
| Detox length | Estimated total before insurance |
|---|---|
| 3 days | $660–$2,100 |
| 5 days | $1,100–$3,500 |
| 7 days | $1,540–$4,900 |
| 10 days | $2,200–$7,000 |
Residential treatment: $6,000–$27,000 a month
The monthly price generally covers lodging, food, therapy, nursing and discharge planning. Ask separately about detox, psychiatric visits, addiction medication and single rooms. Weigh 30-day, 60-day and 90-day options, and look at dual diagnosis programs if mental health care is part of the plan.
| Length of stay | Estimated total before insurance | Good to know |
|---|---|---|
| 30 days | $6,000–$27,000 | A typical first stay before outpatient step-down |
| 60 days | $12,000–$54,000 | A longer stay to strengthen recovery skills |
| 90 days | $18,000–$81,000 | NIDA says most individuals need at least 3 months of treatment |
Partial hospitalization: $7,000–$14,000 a month
Treatment fills most of the day, five or more days a week, and you sleep at home or in recovery housing, which is a separate cost. NC Medicaid’s closest service is SACOT, ASAM level 2.5. Browse PHP programs.
Intensive outpatient: $2,500–$9,000 a month
Several sessions a week, often scheduled in the evening so you can keep working. Ninety days of IOP costs $7,500–$27,000 at North Carolina prices. NC Medicaid’s closest covered service is SAIOP (ASAM level 2.1). See IOP programs and evening treatment.
Standard outpatient: $1,200–$5,000 a month
Weekly or twice-weekly counseling, the least intensive level and often the longest. Many people pair it with medication for opioid use disorder; on NC Medicaid, those drugs carry no copay.
What does a full course of rehab cost in North Carolina?
A typical step-down sequence, a week of detox, a month in residential care, a month of PHP and two months of IOP, adds up to $19,540–$63,900 at North Carolina prices before insurance. PHP and IOP each cost less per day than residential care, so moving down sooner lowers the total.
| Stage | Length | Estimated cost before insurance |
|---|---|---|
| Medical detox | 7 days | $1,540–$4,900 |
| Residential treatment | 30 days | $6,000–$27,000 |
| Partial hospitalization | 30 days | $7,000–$14,000 |
| Intensive outpatient | 60 days | $5,000–$18,000 |
| Full course of care | 127 days | $19,540–$63,900 |
Calculated from RehabSeekers.com Rehab Cost Survey North Carolina rates. An example, not a quote.
- Starting outpatient: $8,600–$30,500. Five days of detox followed by three months of IOP.
- Short residential stay: $14,540–$45,900. A week of detox, 30 days of residential care, then a month of PHP.
- Longer recovery plan: $19,400–$82,000. Two months of residential care, two months of IOP and two months of standard outpatient therapy, with no detox.
On NC Medicaid, the same three plans carry no member copay for the behavioral health services involved. With an insured group plan, your deductible and coinsurance apply on the same terms as for physical illness under G.S. 58-51-50, if the group policyholder did not decline the coverage.
Is rehab cheaper in Virginia, Tennessee, Georgia or South Carolina?
Compared with North Carolina, residential prices are cheaper in Georgia and South Carolina, the same in Tennessee, and higher in Virginia. The widest residential gap is with Georgia and South Carolina, at $1,000 a month.
States are shaded by typical price (range midpoint, before insurance) across these 5 states. North Carolina has the solid orange outline; the selected state is dashed. Source: RehabSeekers.com Rehab Cost Survey, 2027 prices.
| State | Detox per day | Residential per month | PHP per month | IOP per month | Outpatient per month |
|---|---|---|---|---|---|
| North Carolina | $220–$700 | $6,000–$27,000 | $7,000–$14,000 | $2,500–$9,000 | $1,200–$5,000 |
| Virginia | $230–$730 | $6,000–$28,000 | $7,500–$14,000 | $3,000–$10,000 | $1,200–$5,000 |
| Tennessee | $220–$700 | $6,000–$27,000 | $7,000–$14,000 | $3,000–$10,000 | $1,200–$5,000 |
| Georgia | $220–$700 | $6,000–$25,000 | $7,000–$13,500 | $2,500–$9,000 | $1,200–$5,000 |
| South Carolina | $220–$700 | $6,000–$25,000 | $7,000–$13,500 | $2,500–$9,000 | $1,200–$5,000 |
| U.S. median (50 states) | $230–$715 | $6,000–$27,000 | $7,500–$14,000 | $3,000–$9,000 | $1,200–$5,000 |
Similar prices across the Southeast are a finding in their own right: within the region, the choice of program moves the bill more than the choice of state. Coverage is another matter, since NC Medicaid and LME/MCO funding are built around North Carolina providers.
How do North Carolina’s ways of paying for rehab compare?
NC Medicaid is the lowest-cost route for those who qualify, since addiction services have no copay. LME/MCO funding covers people without Medicaid who fit a benefit plan, with income-based fees. Private plans and self-pay cost more.
| Route | What you pay | Keep in mind |
|---|---|---|
| NC Medicaid (Standard or Tailored Plan) | No copay for behavioral health services or opioid use disorder drugs | Renewals every 6 months for most adults from 2027 |
| LME/MCO state funding | Co-payment schedule based on family income | You must fit a benefit plan; no one is refused for inability to pay |
| ADATC | Daily rate on a sliding scale | Short-term detox and stabilization at two state centers |
| Insured group plan | Deductible and coinsurance, same as physical illness | The group policyholder can decline the state chemical dependency coverage in writing; self-funded plans are not covered by state law |
| Marketplace plan | Deductible and cost-sharing up to your out-of-pocket maximum | Covers substance use disorder treatment as an essential health benefit |
| Self-pay | $6,000–$27,000 a month residential; $2,500–$9,000 a month IOP | Ask for a written quote and what is billed separately |
How can you pay less for rehab in North Carolina?
- Check Medicaid first. Adults 19 to 64 with incomes up to 138% of the poverty line can qualify, and addiction services carry no copay.
- Call your LME/MCO if you are uninsured. Alliance Health, Trillium Health Resources or Vaya Partners, depending on your county, can place you with a funded provider.
- Ask your employer about chemical dependency coverage. If your insured group plan did not decline it, coverage must match physical illness terms.
- Use the step-down levels. In North Carolina, IOP at $2,500–$9,000 a month costs a fraction of residential care at $6,000–$27,000.
- Compare quotes within the state. Residential quotes ranged from $6,000 to $27,000 a month, a $21,000 spread, against at most $1,000 between North Carolina’s typical price and any neighbor’s.
Where is North Carolina’s opioid settlement money going?
North Carolina expects about $1.5 billion from national opioid settlements, paid from 2022 through 2038. Under the state’s agreement, 85% goes to local governments, meaning the 100 counties and some municipalities.
How many rehab centers are in North Carolina?
The RehabSeekers.com directory lists 510+ addiction treatment centers in North Carolina, covering both state-funded and private care. 81% accept Medicaid, 23% offer sliding-scale fees and 29% run intensive outpatient programs.
The cities with the most listed centers are Charlotte, NC (48), Raleigh, NC (40), Asheville, NC (22) and Greensboro, NC (20). See every North Carolina rehab center.
Source: RehabSeekers.com directory, as of October 2026, refreshed monthly. Percentages total more than 100% because many centers offer several services.
How many North Carolinians need treatment, and how many die of overdoses?
SAMHSA’s state estimates put the number of North Carolinians age 12 and older with a past-year substance use disorder at 1,367,000, or 14.82%, for 2023–2024. In 2024, 76.11% of those classified as needing substance use treatment did not receive it.
The same 2024 SAMHSA tables estimate that 1,580,000 North Carolinians needed substance use treatment, while 391,000 received it. On overdoses, NCDHHS reported in April 2026 that deaths fell 34%, from 4,442 in 2023 to 2,934 in 2024, the first drop since 2019; that 2024 count is provisional. For 2025, the Division of Public Health estimates that 2,731 North Carolinians are suspected to have died from an overdose, a figure that is not yet final.
How did we get North Carolina rehab prices?
RehabSeekers.com commissioned a team of researchers to telephone addiction treatment centers in every state, at least five per state and in more than one city, and ask the self-pay price of each level of care. The North Carolina ranges run from the lowest quote to the highest.
- When: calls started in October 2026, and figures were checked again through January 2027.
- How totals are built: detox totals multiply the daily rate; every other level spreads the monthly price across the days of care.
- Coverage facts: taken from NC Medicaid, NCDHHS, the North Carolina General Statutes and federal agencies, listed in the sources below.
North Carolina rehab cost questions
How much does rehab cost in North Carolina without insurance?
Paying yourself, expect about $40 to $900 a day, based on prices North Carolina treatment centers quoted RehabSeekers.com for 2027. Residential treatment runs $6,000–$27,000 a month, medical detox $220–$700 a day, partial hospitalization $7,000–$14,000 a month, intensive outpatient $2,500–$9,000 and standard outpatient $1,200–$5,000 a month. Ways to pay for rehab.
Read more: https://rehabseekers.com/resources/how-to-pay-for-rehab/
What is the average cost of inpatient rehab in North Carolina?
The typical North Carolina residential price is $16,500 a month, the midpoint of quotes from $6,000 to $27,000. That is right at the national median. Compare every state’s rehab costs.
Read more: https://rehabseekers.com/resources/rehab-cost-united-states/
Does NC Medicaid cover drug and alcohol rehab?
Yes. NC Medicaid covers withdrawal management, residential treatment at ASAM levels 3.1 to 3.7, substance abuse intensive outpatient (SAIOP), substance abuse comprehensive outpatient treatment (SACOT) and opioid treatment programs under its clinical coverage policies. See rehabs that accept Medicaid.
Read more: https://rehabseekers.com/insurance/medicaid/
Is there a copay for rehab on NC Medicaid?
No. NC Medicaid lists behavioral health services and drugs used to treat opioid use disorder as exempt from copays. The usual $4 copay applies to other services, such as many doctor visits and prescriptions. Find medication for opioid use disorder.
Read more: https://rehabseekers.com/programs/outpatient/mat/
What is a Tailored Plan in North Carolina?
Behavioral Health I/DD Tailored Plans are NC Medicaid plans for people with serious mental illness, severe substance use disorder, intellectual or developmental disabilities or traumatic brain injury. They launched on July 1, 2024 and are run by the regional LME/MCOs. Most other members are in one of four Standard Plans. Browse North Carolina treatment centers.
Read more: https://rehabseekers.com/locations/us/north-carolina/
What happened to Vaya Health and Partners Health Management?
The two LME/MCOs merged on October 1, 2026 and now operate as Vaya Partners. NC Medicaid described the merger as mainly a name change. North Carolina’s LME/MCOs are now Alliance Health, Trillium Health Resources and Vaya Partners. Find state-funded programs.
Will the 2027 Medicaid work rule affect people in rehab?
Starting January 1, 2027, most NC Medicaid adults ages 19 to 64 must log 80 hours a month of work or other approved activities (or earn at least $580 a month) and renew every 6 months. People in a drug or alcohol treatment and rehabilitation program, and people with a substance use disorder, do not have to meet the requirement, though they may need to show documents. See Medicaid rehab programs.
Read more: https://rehabseekers.com/insurance/medicaid/
How do I get state-funded rehab in North Carolina?
Contact the LME/MCO for your county. These local area authorities manage publicly funded mental health and substance use services and connect you with contracted providers. Funded benefit plans cover adults with a primary substance use disorder, with separate plans for pregnant and parenting women, opioid use disorder, stimulant use and people on probation or parole. Search state-funded rehab.
Can a public program in North Carolina turn me away if I can’t pay?
Not for inability to pay. State law, G.S. 122C-146, says no individual may be refused services because of an inability to pay, and lets area authorities charge fees on a co-payment schedule based on family income. Look for sliding-scale programs.
What is an ADATC in North Carolina?
Alcohol and Drug Abuse Treatment Centers are state-run facilities for short-term, medically monitored detox and crisis stabilization. Two are open: Julian F. Keith in Black Mountain and Walter B. Jones in Greenville. Admission is open to any North Carolina adult regardless of insurance, with a daily rate on a sliding scale. Compare medical detox programs.
Read more: https://rehabseekers.com/programs/detox-centers/medical-detox/
Does private insurance have to cover rehab in North Carolina?
Insured group plans must offer chemical dependency coverage on the same deductibles and coinsurance as physical illness, with floors (not caps) of $8,000 a year and $16,000 over the life of the policy. The group policyholder can decline it in writing, and self-funded plans fall outside state law. Marketplace plans cover substance use disorder treatment as an essential health benefit. See rehab by insurance provider.
Read more: https://rehabseekers.com/insurance/
Is rehab cheaper in South Carolina or Georgia than in North Carolina?
For residential care, yes: both typically charge $15,500 a month, $1,000 less than North Carolina. Typical detox is $460 a day in all three states. NC Medicaid and LME/MCO funding are built around North Carolina providers, so ask before you cross the state line. See the South Carolina rehab cost guide.
Read more: https://rehabseekers.com/resources/rehab-cost-south-carolina/
Is rehab more expensive in Virginia than in North Carolina?
Yes, for residential care. Typical residential rehab in Virginia costs $17,000 a month, $500 more than North Carolina’s $16,500. Typical detox in Virginia is $20 a day more and typical IOP is $750 a month more. See the Virginia rehab cost guide.
Read more: https://rehabseekers.com/resources/rehab-cost-virginia/
How much does detox cost in North Carolina?
Medical detox in North Carolina costs $220–$700 a day before insurance. Three days come to $660–$2,100 and a week to $1,540–$4,900. The typical daily price, $460, is 3% below the national median. See detox centers.
Read more: https://rehabseekers.com/programs/detox-centers/medical-detox/
How much does a 90-day rehab program cost in North Carolina?
Three months of residential treatment costs $18,000–$81,000 before insurance at North Carolina prices. Moving to PHP or IOP after the first month brings the total down. Compare 90-day programs.
Read more: https://rehabseekers.com/programs/residential/long-term/90-day/
How many people in North Carolina need addiction treatment?
SAMHSA estimates that 1,367,000 North Carolinians age 12 and older (14.82%) had a past-year substance use disorder in 2023–2024. In 2024, 76.11% of people classified as needing substance use treatment did not receive it. Estimate the cost of untreated addiction.
Read more: https://rehabseekers.com/resources/addiction-cost-calculator/
How to cite this data
Journalists, researchers and AI tools are welcome to use these figures with credit and a link to this page.
RehabSeekers.com. “How Much Does Rehab Cost in North Carolina?” RehabSeekers.com Rehab Cost Survey, 2027 prices. https://rehabseekers.com/resources/rehab-cost-north-carolina/
Sources
Primary data
- RehabSeekers.com Rehab Cost Survey (2027 prices): treatment center prices collected by a team of researchers commissioned by RehabSeekers.com, with at least five centers per state. All prices, ranges, totals and state comparisons on this page.
Coverage rules and public health data
- NC Medicaid, “North Carolina Expands Medicaid”
- N.C. General Statutes §108A-54.3C (Medicaid expansion trigger)
- NC Medicaid, Expansion notice on H.R. 1 changes
- NC Medicaid, Work and community engagement requirements
- NC Medicaid, Clinical coverage policies
- NC Medicaid, Behavioral health clinical coverage policy updates (January 7, 2026)
- CMS, North Carolina Medicaid Reform Demonstration extension approval (December 10, 2024)
- NC Medicaid, Health plans
- NC Medicaid, Standard Plan and Tailored Plan fact sheet
- NC Medicaid, Information regarding the Vaya Health and Partners Health Management merger (September 10, 2026)
- NCDHHS, LME/MCO directory
- NC Medicaid, Copays
- NC Medicaid, How to apply
- NCDHHS, Division of Mental Health, Developmental Disabilities and Substance Use Services
- NC Department of State Treasurer, DHHS compliance supplement (LME/MCO area authorities)
- N.C. General Statutes §122C-146 (fees and inability to pay)
- NCDHHS, FY27 state-funded benefit plan eligibility criteria (revised July 1, 2026)
- NCDHHS, Alcohol and Drug Abuse Treatment Centers
- N.C. General Statutes §58-51-50 (chemical dependency coverage in group plans)
- N.C. General Statutes §58-3-220 (mental illness parity)
- HealthCare.gov, Mental health and substance abuse health coverage options
- N.C. Department of Justice, FAQ on the North Carolina opioid settlement MOA (August 2023)
- SAMHSA, 2024 NSDUH State-Specific Tables (2023–2024 and 2024 estimates): North Carolina
- NCDHHS, New data shows all-time low infant mortality in NC, sharp decrease in overdose-related deaths (April 27, 2026)
- NCDHHS Division of Public Health, Overdose data
- Medicare.gov, “Mental health & substance use disorders”
- NIDA, Principles of Drug Addiction Treatment: A Research-Based Guide (3rd ed.)
This page is for information only and is not medical, legal or financial advice. Prices are estimates; your cost depends on your program, your coverage and your treatment plan.
