The Departments of the Treasury, Labor, and Health and Human Services (the Departments) have issued the Transparency in Coverage final rules (85 FR 72158) on November 12, 2020. The final rules require non-grandfathered group health plans and health insurance issuers in the individual and group markets (plans and issuers) to disclose certain pricing information. Under the final rules a plan or issuer must disclose in-network negotiated rates and billed and out-of-network allowed through two machine-readable files posted on an internet website.
Plans and issuers are required to make these files public for plan policy years beginning with 2022. This material is for information only. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional.
Blue Cross of NC will update machine-readable files monthly. Last updated 07/01/2022.
Non-ASO Groups
ASO Groups
- 3 fish inc
- aalberts integrated piping systems americas inc
- abc phones of north carolina inc dba victra
- abco automation inc
- abx innovative packaging solutions llc
- ac corporation
- accelogix llc
- aceavant concrete construction
- acn inc
- adams beverages of north carolina llc
- adams howell sizemore adams pa
- air t inc
- akg north america inc
- alexander county
- alexander ricks pllc
- alford mechanical inc
- ali group north america corporation
- allegacy federal credit union
- alleghany county
- allen industries inc
- alliance health
- amergent hospitality group inc
- american asset corporation
- american radio television cable inc
- american roller bearing company
- american security mortgage corporation
- amv holdings llc
- apex express logistics
- apiture inc
- aptus group
- arcatech systems
- asahi kasei america inc
- ascend leadership academy
- asheville chevrolet inc
- asheville kombucha mamas llc dba buchi
- atlantic casualty insurance company
- atlantic coast toyotalift
- autobell car wash llc
- avid solutions inc
- avl technologies
- baebies inc
- baker roofing company inc
- bakkavor foods usa inc
- barnhill contracting company
- barton college group health plan
- bb logistics llc
- bethel free will baptist church
- biocryst pharmaceuticals inc
- bitting electric inc
- blue cross and blue shield of north carolina
- blue ridge community health services
- blue ridge companies inc
- blum inc
- boer brothers heating and cooling llc
- bojangles of wnc llc
- boon edam inc
- brick haulers inc
- brightly software inc
- brock scott pllc
- bruce allen construction
- brumit restaurant group
- brunswick county government
- buhler inc
- builders mutual insurance company
- burke county
- butterball llc
- buy sod usa
- ca lewis inc
- caffey distributing co
- calyx
- camp electric company inc
- cannon school
- capitol broadcasting company inc
- captiveaire systems inc
- carl rose sons inc
- carlie c s operation center inc
- carlson environmental consultants pc
- carolina air conditioning co
- carolina comfort air inc
- carolina day school
- carolina dealerships inc
- carolina glove company
- carolina home medical
- carolina meadows inc
- carolina premium beverage
- carolinas telco federal credit union
- carroll companies inc
- carson industries inc
- caswell county government
- catawba college
- catawba county employees
- center for international education inc participate
- century contractors inc
- chadmark inc dba hand stone
- chai pani restaurant group
- chalk gibbs inc
- chandler concrete company inc
- channeladvisor corporation
- chapel hill retirement community dba carol woods retirement community
- charlotte latin school
- charlotte mechanical llc
- charlotte metro federal credit union
- city of albemarle
- city of concord
- city of gastonia
- city of hickory
- city of kannapolis
- city of kinston
- city of newton
- city of oxford
- city of raleigh
- city of roxboro
- city of salisbury
- city of sanford
- city of thomasville
- city of wilson
- clancy theys construction company
- clariant corporation
- clarks printing services
- cleveland county
- coastal beverage company inc
- coats american inc
- community based care llc
- community public charter school
- compass group usa inc
- concord abc board
- connectivity llc
- connelly springs electric inc
- contract erectors inc
- cook boardman llc
- cooper electrical construction co inc
- counter culture coffee inc
- county of chatham
- county of cumberland
- county of franklin
- county of granville
- county of harnett
- county of henderson a body corporate and politic
- county of jackson
- county of sampson
- county of swain
- county of wilson
- cpi security systems inc
- cross technologies inc dba cross company
- d f consolidated inc dba car mel products
- daumar corporation
- david allen company
- david pruitt electrical company inc
- davidson college
- davidson county government
- davidson funeral home
- davie county
- delta mold
- dh griffin wrecking company inc
- digestive health specialists
- direct distributors inc
- door systems assa abloy us inc
- drake software llc
- driven brands inc
- duke university
- duplin county
- e2 mechanical industrial refrigeration llc
- eastern band of cherokee indians
- eastpointe human services
- ecmd inc
- ej pope son inc
- electric glass fiber america llc dba neg us
- eller residential inc
- elomi dba piedmont machine manufacturing
- elon university
- environamics inc
- epic games inc
- exela pharma sciences
- ezzell trucking inc
- facility systems services inc
- fairfield chair company
- fairystone fabrics llc
- fayetteville street christian school
- fhcl inc
- first bancorp
- first citizens bank trust company
- fisher textiles inc
- flores associatesllc
- flow companies llc
- foster caviness company inc
- franchi trucking inc
- frontier yarns inc
- fsc ii llc dba fred smith company
- fuller co construction llc
- g w equipment inc
- g l wilson building company
- galloway ridge inc
- gaston county government
- gha autism supports
- glen raven inc
- global textile alliance inc
- goldsboro milling company
- goodwill industries of eastern nc inc
- goodwill industries of the southern piedmont
- goshen medical center inc
- grady white boats
- green ford llc
- greensboro science center
- grubb ventures services llc
- guilford college
- guilford medical associates pa
- haire plumbing mechanical co inc
- halifax county
- hawthorne residential partners llc
- hemosonics llc
- hickory grove baptist church
- high performance technologies
- hillcrest convalescent center inc
- hoffer flow controls inc
- hometrust bank
- hornets basketball llc
- hospice palliative care charlotte region
- hunter corporation
- hurricanes holdings llc
- husqvarna professional products inc
- hutchens law firm llp
- hyde park partners inc
- ideal fastener corp
- iem inc
- ifb solutions
- imaflex usa
- implus footcare llc
- intersection logistics llc
- iredell county
- isolved
- isometrics inc
- j p thomas company inc
- jack b wooten company
- jaggaer llc
- james m pleasants company inc
- jo flowe grading co llc
- joe gibbs racing inc
- john c campbell folk school
- john e jenkins inc
- johnston allison hord pa
- jordan lumber supply inc
- journey personal care holdings ltd dba attindas
- jsmith civil llc
- jteam emp llc dba johnstone supply
- k flex usa llc
- katalyst network group
- kayser roth corporation
- kennon craver pllc
- kevin richardson grading
- kinetic systems inc
- kintegra health
- kline franchising dba burn boot camp
- klingspor abrasives inc
- kontoor brands inc
- l harvey and son company affiliates
- lc industries
- lending tree
- leviton manufacturing co inc
- life inc
- lincoln county
- lindys homemade llc
- looking glass eye center
- loparex llc
- lost time control west inc
- louisburg college
- lumbee river electric membership corporation
- mabe trucking company inc
- mackenzie ryan holding company
- macon county
- mangums inc
- marine chevrolet company
- marsh furniture company
- martin marietta materials inc
- mayne pharma inc
- mccorkle sign co inc
- mckee homes
- mcmichael mills inc
- measurement incorporated
- mechanical contractors inc
- medi usa lpmedi mfg inc
- meduit
- meherrin agricultural chemical company
- methodist university inc
- mid atlantic christian university
- mina charter school
- mint hill dentistry llp
- morganite industries inc
- mosaic group llc
- moto group llc dba rinehart racing
- mountain credit union
- mt olive pickle company inc
- mtm ventures llc
- murphy family ventures llc
- mw industries
- myers and chapman
- nash johnson sons farms
- national coatings supplies inc
- nc bankers association health benefit trust
- nc conference of the united methodist church
- nc solar now
- nelon cole termite pest control
- nest homes llc
- new hanover county government
- next glass inc
- nn inc
- noel group llc
- north american roofing inc
- north carolina bar association
- north carolina farm bureau federation inc
- north carolina medical society
- north carolina state health plan
- northampton county
- northside millwork inc
- northwest pediatrics
- nutkao usa inc
- obrien and west dmd pllc
- oda architecture
- odyssey mechanical llc
- okaya shinnichi corp of america
- olameter corporation
- omara incorporated
- one source communications
- onslow county
- onslow grading paving inc
- opendoor international
- orange county
- orano usa llc
- pamlico yachtworks llc
- paragon medical
- parkdale america llc
- parkdale inc
- parkdale mills inc
- parks heating cooling inc
- penske performance inc
- pepsi cola bottling company of hickory nc inc
- petra energy holdings llc
- pfaffs incorportated
- phillips towing service inc
- piedmont advantage credit union
- piedmont plastics
- piedmont triad regional council
- pine gate renewables llc
- pinehurst medical clinic
- pinehurst surgical
- pinnacle corrugated llc
- pitt county hospitalization fund
- poc investors dba cadence petroleum group
- poppelmann plastics usa
- port city baths inc
- precision fabrics group inc
- precision franchising inc
- precision walls inc
- premier magnesia llc
- presbyterian homes inc
- printful inc
- progressive service company
- protech mechanical inc
- protochips inc
- puryear tank lines inc
- pyxus holdings inc
- qrc inc
- quality equipment llc
- quality oil company llc
- quan services inc
- race city steel inc
- raleigh durham medical group pa
- raleigh neurology associates pa
- raleigh neurosurgical clinic inc
- raleigh orthopaedic clinic pa
- ravenscroft school
- raybow usa
- rcr enterprises llc
- real magic inc
- regional materials recovery inc
- registry partners incorporated
- relay inc
- residential services inc
- reynolds american inc
- riccobene central services inc
- riverwild llc
- rmg leather usa llc
- roanoke chowan community health center
- robert e mason and associates inc
- robeson county
- robinett enterprises
- rodgers builders inc
- roofwerks inc
- roush fenway keselowski racing llc
- rowan county
- rusco fixture co inc
- s s services group llc
- saf technologies inc
- salem academy and college
- salem electric company inc
- sampson bladen oil company inc
- sas institute inc
- schaefer plastics north america llc
- schaefer systems international inc
- schneider mills inc
- scope anesthesia of nc pllc
- scottmadden inc
- sealed air corporation
- seaside vacations
- security plus electrical inc
- select laboratory partners inc
- self help services corporation
- sepi engineering construction inc
- sharp transit llc
- shield engineering inc
- sibelco north america inc
- sigma family of companies dba sigma engineered solutions
- signature plumbing inc
- smith setzer sons inc
- smith rowe llc
- sonic automotive inc
- southco distributing company
- southeast tubular products inc
- southminster inc
- southwestern child development commission
- spectraforce technologies inc
- spectrum consultants inc
- spx corporation
- spx flow inc
- st wooten corporation
- stabella inc
- stabilus inc
- stanly county
- state employees credit union
- staunton capital inc
- steelfab inc
- stewart haas racing llc
- swaim inc
- swim club management group
- swissport north america inc
- systel business equipment co inc
- t k utilities inc
- t1v
- ta loving company
- taylor motor company
- tech electric corporation
- technimark llc
- telamon corporation
- temperature control solutions inc
- tennoca construction company
- tergus pharma
- tex tech industries
- the east group pa
- the experiential school of greensboro
- the fidelity bank
- the home center
- the john r mcadams company inc
- the law offices of james scott farrin
- the n2 company
- the quartz corporation
- thomasville dexel inc
- thompson gordon shook engineers inc
- tops for shoes
- town of ahoskie
- town of boone
- town of cary
- town of hillsborough
- town of kernersville
- town of landis
- town of morrisville
- town of murfreesboro
- town of ramseur
- town of wake forest
- trackhouse entertainment group llc
- trader construction co
- trans world radio
- transportation insight and nolan transportation group
- transylvania county
- triangle mechanical contractor inc
- triangle urology associates pa
- true homes llc
- truliant federal credit union
- tryon distributing llc
- tryon medical partners pllc
- us industrial piping inc
- us radiology specialists inc
- uwharrie lumber company
- valley radiology pa
- vance family medicine
- vaya health
- veterinary emergency care pllc
- village family dental
- wake county board of alcohol control
- wake emergency physicians pa
- wake forest university
- walker and associates inc
- warren county
- washington alloy
- wastequip llc
- watson electrical construction company llc
- wayne brothers inc
- wayne county
- wb moore company of charlotte inc
- wc rouse holdings
- well spring services inc
- wells and associates pllc
- wilbert inc
- wilkes county
- wilson preparatory academy
- wnc paving inc
- woodard ellis co llc
- workplace options llc
- wyndham capital mortgage inc
- wynn site development inc
- yadkin county employees
- yard nique inc
- york properties inc
- zepsa industries inc
- zippy shell incorporated
- Pricing included in the fee schedule data is accurate as of the date it is pulled from system files and may be subject to change between the date the pricing data is pulled and the next update of the files. This file and the included pricing data is not a guarantee of payment and may not always reflect amounts on final claim processing documentation. Eligibility and benefit determinations are made when the claim is processed by Blue Cross NC.
- Rates for codes appearing in the file may vary when a given code rate has a modifier applied or when member benefit or treatment characteristics result in certain rate adjustments. Different codes rates for the same codes may indicate that a modifier or some other type of member benefit or treatment characteristic applies. Billing codes that are not included in fee schedule data for in-network rates are not included in the file.
- Price transparency requirement can result in very large file sizes which may, in turn, cause issues while downloading them. If you are experiencing problems, please try a different web browser or check your Internet/Wi-Fi speed.
Understanding the Data
Machine-readable files published by Blue Cross of NC confirm to the technical implementation guide and schema version 1.0.0 published by CMS at https://github.com/CMSgov/price-transparency-guide
If you're looking for member-specific benefit information, view our Transparency of Coverage information.