Office Visit (Established, Moderate-High) Cost in North Carolina
Office o/p est mod 30 min
North Carolina Average Cost (2026)
-4.5% vs national avgAverage across 1 Medicare locality in North Carolina
National Average
State Ranking
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About Office Visit (Established, Moderate-High) Costs in North Carolina
The average Medicare reimbursement for office visit (established, moderate-high) in North Carolina is $129.44 for an office setting and $81.76 in a hospital. This is about 5% lower than the national average of $135.61.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in North Carolina, that would be roughly $26 for an office visit or $16 in a hospital setting.
Private insurance plans in North Carolina typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $168 and $259.
Without insurance, you may be able to negotiate a cash discount. Many providers in North Carolina will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.
Ways to Save on Office Visit (Established, Moderate-High)
Compare Insurance Plans
Uninsured? Comparing marketplace plans in North Carolina could save you thousands on procedures like this.
Compare plans on eHealth →Try Telehealth First
Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.
Book on Sesame Care →Save on Prescriptions
If this procedure leads to a prescription, check discount cards for up to 80% savings.
Check prices on GoodRx →Some links are affiliate links. We may earn a commission at no extra cost to you.
More ways to save →