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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes North Carolina schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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North Carolina's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,547 | Aug 2026 | 77.8% | $54.26 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 1,935 | Aug 2026 | 100.3% | $24.94 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,051 | Oct 2025 | 65.4% | -- | -- |
| Drugs | 369 | Aug 2026 | -- | -- | -- |
| Vision | 47 | Jan 2026 | 68.5% | $101.69 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 24 | Oct 2025 | 63.3% | $96.44 Psychotherapy, 60 minutes (90837) | -- |
| Hearing | 7 | Oct 2025 | -- | -- | -- |
| Transport | 10 | Oct 2025 | -- | $70.75 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| LTSS / Waiver | 13 | Oct 2025 | -- | -- | -- |
| State-Specific Services | 91 | Aug 2026 | 91.6% | $20.61 Telehealth originating site facility fee (Q3014) | -- |
| Dental | North Carolina's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
North Carolina also publishes 2 anesthesia codes (Oct 2025), too few or too old to summarize here.
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where North Carolina publishes its fee schedules
- Publisher
- North Carolina Department of Health and Human Services, Division of Health Benefits (NCDHHS)
- Program
- NC Medicaid
- Official source
- https://ncdhhs.servicenowservices.com/fee_schedules
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete North Carolina schedules, every category and every code, export as CSV on the Rates plan.
Compare North Carolina nationally
Frequently asked questions
Does North Carolina publish a Medicaid fee schedule?
Yes. North Carolina publishes 10,094 Medicaid fee-for-service procedure rates across 10 service categories, effective through Aug 2026, all collected and normalized here with plain-language procedure names. North Carolina Department of Health and Human Services, Division of Health Benefits (NCDHHS) publishes North Carolina's Medicaid fee schedules.
Who publishes North Carolina's Medicaid fee schedule?
North Carolina Department of Health and Human Services, Division of Health Benefits (NCDHHS) publishes North Carolina's Medicaid fee schedules. The state's own fee-schedule page is https://ncdhhs.servicenowservices.com/fee_schedules. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does North Carolina Medicaid pay for common services?
An established-patient office visit (99213) pays $54.26, a two-view chest X-ray (71046) $24.94 and a telehealth originating-site facility fee (Q3014) $20.61. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do North Carolina's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, North Carolina's published rates run a median 78.5% of the Medicare amount, ranking 33 of 49 jurisdictions with a comparable basis.
What service categories does North Carolina publish?
Physician (6,547 codes), Lab & Imaging (1,935 codes), DME & Supplies (1,051 codes), Drugs (369 codes), Vision (47 codes), Behavioral Health (24 codes), Hearing (7 codes), Transport (10 codes), LTSS / Waiver (13 codes), State-Specific Services (91 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from North Carolina's currently published fee schedules, the newest effective Aug 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.