North Carolina Medicaid rate for CPT 12001
NC Medicaid pays $104.41 for CPT 12001 in its January 2026 fee-for-service schedule: the 8th-highest of 45 state Medicaid programs, at 121% of the $86.45 median.
- Non-facility rate
- $104.41
- Rank
- 8 of 45
- vs. state median
- 121%
- vs. NC Medicare
- 98%
What NC Medicaid publishes for 12001
8th-highest of 45 · 121% of median
- Schedule
- January 2026
- In effect since
- Oct 1, 2025
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. NC Medicaid Physician Services Fee Schedules
12001 in neighboring states
Each state's comparable non-facility rate for 12001 in its current schedule.
| State | Rate | vs. North Carolina |
|---|---|---|
| Georgia | $103.88 | -1% |
| South Carolina | $61.63 | -41% |
| Virginia | $98.67 | -5% |
12001 in every state
Map and ranking of every state program that prices 12001.
Compare 12001 across states12001 under Medicare
Medicare's 2026 non-facility payment for 12001 in North Carolina is $106.33; NC Medicaid's rate is 98% of that. The national amount before geographic adjustment is $113.897.
See 12001 Medicare ratesSee North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 12001.
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