North Carolina
BCBS North Carolina fee schedule 2026, by CPT code.
Blue Cross and Blue Shield of North Carolina publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read BCBS North Carolina’s files for your rates.
What you’ll get
| Code | Visit | Your BCBS North Carolina rate | Source file |
|---|---|---|---|
| Filled in from BCBS North Carolina’s own file when you enter your NPI. | |||
BCBS North Carolina publishes 10 in-network rate files. We read them for the rate listed for your practice, code by code.
Need the codes you bill, across your payers? Start a fee schedule from $99/month.
Inside BCBS North Carolina’s files
What BCBS North Carolina publishes.
Published by BCBS North Carolina under the federal Transparency in Coverage rule.
What you get
The number, and everything behind it.
The exact dollar BCBS North Carolina negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which BCBS North Carolina network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, BCBS North Carolina becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is BCBS North Carolina paying you what it published?
Upload your allowed amounts by code and see which ones BCBS North Carolina allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleBCBS North Carolina next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
Also in North Carolina
The other payers we read here.
Your state
All the payers we read in North Carolina.
Why BCBS North Carolina has its own fee schedule, and what BlueCard means for out-of-state Blue patients: there is no single Blue Cross Blue Shield fee schedule →
Questions about BCBS North Carolina’s rates or your contract? Ask us →