Maryland, District of Columbia, Virginia
CareFirst BCBS (PPO) fee schedule 2026, by CPT code.
CareFirst BlueCross BlueShield (Maryland / DC / N. Virginia) — PPO publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read CareFirst BCBS (PPO)’s files for your rates.
Answers in seconds, for any code you bill.
What you’ll get
| Code | Visit | Your CareFirst BCBS (PPO) rate | Source file |
|---|---|---|---|
| Filled in from CareFirst BCBS (PPO)’s own file when you enter your NPI. | |||
CareFirst BCBS (PPO) publishes 3 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 CareFirst BCBS (PPO)’s files
What CareFirst BCBS (PPO) publishes.
Published by CareFirst BCBS (PPO) under the federal Transparency in Coverage rule.
What you get
The number, and everything behind it.
The exact dollar CareFirst BCBS (PPO) negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which CareFirst BCBS (PPO) 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, CareFirst BCBS (PPO) becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is CareFirst BCBS (PPO) paying you what it published?
Upload your allowed amounts by code and see which ones CareFirst BCBS (PPO) allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleCareFirst BCBS (PPO) 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 Maryland, District of Columbia, Virginia
The other payers we read here.
Your states
All the payers we read in Maryland, District of Columbia, Virginia.
Why CareFirst BCBS (PPO) 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 CareFirst BCBS (PPO)’s rates or your contract? Ask us →