Commercial rate index · state cell

North Carolina healthcare rate index

Name: Reddenda Commercial Rate Atlas: North Carolina
Creator: Reddenda
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

Commercial contracted rates in North Carolina run 0.86x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, North Carolina prints 89.2, ranked 45 of 51 states.

Index 89.2 0.86x Medicare 898,113 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15

CPT	Service	State median	vs Medicare	Rate points	Tier
99202	Office visit, new patient, 15-29 min	$66.22	0.93x	122,607	Benchmark
99203	Office visit, new patient, 30-44 min	$86.00	0.78x	99,056	Benchmark
99204	Office visit, new patient, 45-59 min	$142.79	0.86x	99,353	Benchmark
99205	Office visit, new patient, 60-74 min	$262.17	1.19x	181,181	Benchmark
99212	Office visit, established patient, 10-19 min	$48.85	0.86x	98,124	Benchmark
99213	Office visit, established patient, 20-29 min	$57.62	0.62x	99,233	Benchmark
99214	Office visit, established patient, 30-39 min	$115.73	0.88x	99,490	Benchmark
99215	Office visit, established patient, 40-54 min	$134.35	0.72x	99,069	Benchmark

Medians computed across the full verified distribution of practice-level contracted rates in North Carolina. Publication floor: 11 verified rate points and a non-degenerate spread. Denominator: CMS PFS CY2026 national non-facility. Methodology v1.0.

Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.

Metros in North Carolina

The market is metro by metro. So is the index.

Greenville 106.81.03x Medicare Kinston 106.21.02x Medicare Durham-Chapel Hill 102.50.99x Medicare Morehead City 99.40.96x Medicare Rocky Mount 98.90.95x Medicare Fayetteville 98.70.95x Medicare Jacksonville 98.50.95x Medicare Pinehurst-Southern Pin 96.30.93x Medicare New Bern 95.50.92x Medicare Goldsboro 94.90.91x Medicare Washington 920.88x Medicare Laurinburg 90.40.87x Medicare Rockingham 87.30.84x Medicare Shelby-Kings Mountain 87.20.84x Medicare Greensboro-High Point 87.10.84x Medicare Lumberton 84.80.82x Medicare Mount Airy 84.80.82x Medicare Winston-Salem 84.30.81x Medicare North Wilkesboro 84.20.81x Medicare Wilmington 84.20.81x Medicare Hickory-Lenoir-Morgant 83.70.80x Medicare Wilson 83.60.80x Medicare Charlotte-Concord-Gast 82.20.79x Medicare Albemarle 82.10.79x Medicare Roanoke Rapids 80.80.78x Medicare Forest City 80.80.78x Medicare Waynesville 80.80.78x Medicare Kill Devil Hills 80.80.78x Medicare Sanford 80.70.78x Medicare Asheville 80.40.77x Medicare Burlington 79.60.77x Medicare Brevard 79.10.76x Medicare Elizabeth City 780.75x Medicare Anderson Creek 780.75x Medicare Henderson 780.75x Medicare Boone 780.75x Medicare Raleigh-Cary 780.75x Medicare Marion 73.50.71x Medicare

Read it against the country.

The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. North Carolina sits below it. State cells are satellite series to the national print and carry the same frozen methodology.

All states Alabama · 91 Oklahoma · 90.7 Florida · 90.5 Vermont · 88.7 Connecticut · 87.6 The national print

Cite this page

Source: Reddenda Commercial Rate Atlas, North Carolina. Reddenda. https://reddenda.health/atlas/nc/

Series ID

RCRI.US.ST.NC

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Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 898,113 verified rate pointsas of 2026-07-15 · methodology v1.0