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Fee-for-service rateAs of January 2026

North Carolina Medicaid rate for CPT 20610

NC Medicaid pays $55.10 for CPT 20610 in its January 2026 fee-for-service schedule: the 20th-highest of 44 state Medicaid programs, at 101% of the $54.825 median.

Non-facility rate
$55.10
Rank
20 of 44
vs. state median
101%
vs. NC Medicare
85%

What NC Medicaid publishes for 20610

20th-highest of 44 · 101% of median

20th-highest of 44 · 101% 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

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. North Carolina
Georgia$63.25+15%
South Carolina$42.91-22%
Virginia$59.61+8%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in North Carolina is $64.64; NC Medicaid's rate is 85% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 20610.

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Other NC Medicaid rates