How do I find my CareFirst BlueChoice (HMO) contracted rate?

Enter your NPI. RateBench reads CareFirst BlueChoice (HMO)'s federally required Transparency in Coverage file and returns the negotiated rates it lists for your practice for the common codes of your specialty, with the network and source file. With a plan, you can look up any code.

Is the CareFirst BlueChoice (HMO) rate a benchmark or an estimate?

Neither. It is the figure CareFirst BlueChoice (HMO) published for your NPI. Where the file marks a rate "derived" rather than negotiated, we flag it as an estimate; we never invent a benchmark.

Maryland, District of Columbia, Virginia

CareFirst BlueChoice (HMO) fee schedule 2026, by CPT code.

CareFirst BlueChoice HMO (Maryland / DC / N. Virginia) publishes the rate it negotiated with each practice it contracts with, by NPI. Enter yours and we read CareFirst BlueChoice (HMO)’s files for your rates.

What you’ll get

Code	Visit	Your CareFirst BlueChoice (HMO) rate	Source file
Filled in from CareFirst BlueChoice (HMO)’s own file when you enter your NPI.

CareFirst BlueChoice (HMO) publishes 2 in-network rate files. We read them for the rate listed for your practice, code by code.

Get your own rates for your NPI

Rate lookupSix codes your specialty bills most66 payers liveSource — the payer’s own machine-readable file

Provider NPI

Payer

Your email — we send the rates here

✓ 2 free lookups a month, no account; 10 a month with a free account✓ No card✓ An NPI is public registry data — not patient data✓ Most payers answer in seconds; the big ones take minutes and we email you

Need the codes you bill, across your payers? Start a fee schedule from $99/month.

Inside CareFirst BlueChoice (HMO)’s files

What CareFirst BlueChoice (HMO) publishes.

In-network files2

Published by CareFirst BlueChoice (HMO) under the federal Transparency in Coverage rule.

Last checkedSep 21, 2026

What you get

The number, and everything behind it.

Negotiated rate

The exact dollar CareFirst BlueChoice (HMO) negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.

Network & setting

Which CareFirst BlueChoice (HMO) network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.

Provenance

The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.

Across your payers

On a paid plan, CareFirst BlueChoice (HMO) becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.

After the rate

Is CareFirst BlueChoice (HMO) paying you what it published?

Underpayment check

Upload your allowed amounts by code and see which ones CareFirst BlueChoice (HMO) allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →

Fee schedule

CareFirst BlueChoice (HMO) 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.

Aetna Cigna UnitedHealthcare Medicare CareFirst BCBS (PPO)Oscar Anthem BCBS Virginia Sentara Health Plans

Your states

All the payers we read in Maryland, District of Columbia, Virginia.

District of Columbia Maryland Virginia

Why CareFirst BlueChoice (HMO) 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 BlueChoice (HMO)’s rates or your contract? Ask us →

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