Cost of a Primary Care Doctor (Family Medicine) Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina ranks 10th nationally for Primary Care Doctor (Family Medicine) affordability, despite not expanding Medicaid coverage for low-income adults. Patients typically pay between $66 and $210 for a Primary Care Doctor (Family Medicine) visit, with a median out-of-pocket cost of $82 — approximately 2% below national averages. With 201 active Primary Care Doctor (Family Medicine) providers across the state, patients can browse all providers in North Carolina to find the most cost-effective care.
Average
$119
Median
$82
Lowest
$66
Highest
$210
Providers
201
7% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $73 | $85 | $200 | 206 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214 — Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for family medicine visit. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top Rated Family medicine physicians in North Carolina
Dr. James Adams, MD
Family Medicine Physician · Leland, NC
Dr. Jennifer Chapman, MD
Family Medicine Physician · Mount Airy, NC
Dr. Alfred Sidney Bunao, MD
Family Medicine Physician · Sanford, NC
Dr. Leonardo Figueroa, MD
Family Medicine Physician · Fayetteville, NC
Dr. Scott Luking, MD
Family Medicine Physician · Reidsville, NC
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across North Carolina
North Carolina's healthcare costs run approximately 2% below national averages, influenced by the state's mix of competitive urban markets and underserved rural counties stretching from the Outer Banks to the Appalachian Mountains. The concentration of academic medical centers in the Research Triangle and Charlotte creates pricing pressure while rural areas face access challenges that affect cost dynamics.
Urban vs. Rural Provider Availability
Primary Care Doctor (Family Medicine) providers concentrate heavily in metropolitan areas like Charlotte, Raleigh-Durham, and Greensboro, while 80 of the state's 100 counties face primary care physician shortages according to federal designations. Rural counties often rely on federally qualified health centers and traveling specialists, creating cost disparities where urban competition drives down prices but rural scarcity can increase charges. The mountain region around Asheville and eastern counties particularly struggle with specialist access, influencing referral patterns and overall healthcare costs.
Facility Type and Overhead Costs
Hospital consolidation has accelerated in North Carolina, with systems like Atrium Health, Novant Health, and UNC Health controlling large market shares and typically charging higher facility fees for Primary Care Doctor (Family Medicine) services. Independent practices often offer more competitive pricing and transparent billing, though many have been acquired by larger health systems seeking to capture referral patterns. Academic medical centers affiliated with Duke, UNC, and Wake Forest command premium pricing but may offer specialized expertise not available in community settings.
Insurance Market Competition in North Carolina
BCBS NC dominates the individual and small group markets with approximately 60% market share, while UnitedHealthcare and Aetna compete primarily in the large employer segment, creating varied negotiated rates for Primary Care Doctor (Family Medicine) services. Limited insurer competition in rural markets often results in higher premiums and more restrictive networks, while urban areas benefit from competitive pricing. The state's rejection of Medicaid expansion has left many adults in a coverage gap, increasing the uninsured population and affecting provider payment dynamics.
Physician Supply and Demand in North Carolina
With 201 active Primary Care Doctor (Family Medicine) providers serving a population of 10.7 million, North Carolina maintains adequate specialist availability in urban centers but faces shortages in rural regions. The state's medical schools at UNC, Duke, East Carolina, and Campbell produce significant numbers of family medicine residents, though many relocate to higher-paying markets after training. Growing population and aging demographics increase demand for Primary Care Doctor (Family Medicine) services, particularly in retirement destinations like the Research Triangle and mountain regions, creating upward pressure on pricing and extending wait times.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in North Carolina.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in North Carolina
What is the average cost of a Primary Care Doctor (Family Medicine) visit in North Carolina without insurance?
Does North Carolina Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in North Carolina?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in North Carolina?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in North Carolina?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $91 – $314 | $215 |
| 2 | New Hampshire Range: $101 – $282 | $198 |
| 3 | Iowa Range: $80 – $314 | $187 |
| 4 | Maine Range: $80 – $255 | $180 |
| 5 | Minnesota Range: $81 – $313 | $162 |
| 6 | Wisconsin Range: $73 – $313 | $161 |
| 7 | California Range: $70 – $250 | $154 |
| 8 | Wyoming Range: $80 – $251 | $152 |
| 9 | Illinois Range: $77 – $226 | $148 |
| 10 | Massachusetts Range: $80 – $271 | $144 |
| 11 | Rhode Island Range: $85 – $200 | $143 |
| 12 | North Dakota Range: $91 – $240 | $141 |
| 13 | Texas Range: $70 – $221 | $139 |
| 14 | New Mexico Range: $80 – $178 | $138 |
| 15 | Vermont Range: $107 – $166 | $138 |
| 16 | Mississippi Range: $67 – $249 | $136 |
| 17 | Michigan Range: $66 – $249 | $134 |
| 18 | South Dakota Range: $77 – $239 | $132 |
| 19 | Hawaii Range: $70 – $239 | $131 |
| 20 | New York Range: $78 – $200 | $131 |
| 21 | Pennsylvania Range: $73 – $228 | $130 |
| 22 | Louisiana Range: $69 – $222 | $130 |
| 23 | Colorado Range: $80 – $210 | $126 |
| 24 | Connecticut Range: $80 – $200 | $124 |
| 25 | Oregon Range: $80 – $204 | $124 |
| 26 | Indiana Range: $80 – $202 | $123 |
| 27 | Ohio Range: $70 – $201 | $122 |
| 28 | Georgia Range: $72 – $188 | $122 |
| 29 | South Carolina Range: $68 – $216 | $121 |
| 30 | Washington Range: $80 – $202 | $121 |
| 31 | North Carolina Range: $66 – $210 | $119 |
| 32 | Nevada Range: $48 – $182 | $118 |
| 33 | Virginia Range: $60 – $191 | $116 |
| 34 | Arkansas Range: $70 – $175 | $116 |
| 35 | West Virginia Range: $80 – $133 | $115 |
| 36 | Florida Range: $54 – $200 | $115 |
| 37 | Idaho Range: $75 – $179 | $115 |
| 38 | New Jersey Range: $53 – $188 | $113 |
| 39 | Missouri Range: $67 – $148 | $113 |
| 40 | Kansas Range: $76 – $158 | $113 |
| 41 | Maryland Range: $49 – $194 | $112 |
| 42 | District of Columbia Range: $53 – $199 | $112 |
| 43 | Kentucky Range: $80 – $170 | $110 |
| 44 | Utah Range: $60 – $180 | $110 |
| 45 | Tennessee Range: $70 – $168 | $109 |
| 46 | Oklahoma Range: $70 – $158 | $104 |
| 47 | Arizona Range: $63 – $168 | $104 |
| 48 | Alabama Range: $61 – $160 | $100 |
| 49 | Delaware Range: $58 – $123 | $91 |
| 50 | Alaska Range: $80 – $80 | $80 |
| 51 | Montana Range: $80 – $80 | $80 |