This a fact G711 is most used , if you set OPUS and no one in front is able to use OPUS then your pbx will do some audio transcode, with lot of ressource to do this real time and with a loss of quality resulting to call with awfull sound or one way audio and worst case drop call after few seconds.
Best audio for me is to set 3CX prefered codec on one expected from sip provider, set like this no audio transcode and audio is good.
Last week i've send a QR code to set an extension for an audio call France--> USA and sound was perfect, i felt callee was like one meter from me.
my pbx is on small lightsail cloud instance, from my side call was from DECT phone behind a SBC (PI) behind a 4G router.