bcbsnc.com/mycost

Find a doctor or facility.
Compare treatment cost estimates.
See an estimate of what you'll pay.1
All with the same tool.

Register for Member Services

Its All Here

We believe more information leads to better decisions.

By adding cost information to our Find a Doctor search tool, we hope to help you find the best quality and value for your health care dollars.

See the cost

Our enhanced search tool shows you a range of estimated treatment costs for many common elective procedures.

  • Compare costs for each of the treatments from several providers -- at the same time
  • Get an estimate of out-of-pocket prices based on recent pricing information

How it Works

Simply log into Member Services at mybcbsnc.com to get cost information. Once logged in with your member ID and secure password, use Find a Doctor to search for treatment cost ranges associated with specific practices or facilities.

Contact Us

If you have questions about your benefits as it relates to estimated cost information, call the BCBSNC Customer Service toll-free number on your member ID card. For questions about the tool and for technical support, email us or call BCBSNC Web Support at 888-705-7050.

What are treatment cost estimates?

Treatment cost estimates provide information about the relative cost of many common elective medical procedures. They can give you a ballpark range of what a procedure may cost, as well as provide you with information about how the cost may vary based on the physician/hospital you choose. You can also see an estimate of your out-of-pocket costs based on your current health plan benefits.

Blue Cross and Blue Shield of North Carolina has joined other Blue Plans across the country to provide you this new cost-range information, which is based on claims data from in-network providers.

This information is intended to be used as a reference tool for your convenience and is not a substitute for medical advice from or treatment by a health care professional. Estimates are not a guarantee of payment or prior approval for a particular service.

Also, estimates are not intended to be an exact calculation of potential claim payment. They do not contain all health benefit plan terms, conditions, limitations and exclusions that may apply to your coverage. You should not avoid getting medical care or make health care decisions based on the cost estimates displayed on this website. Only you and your doctor can decide which medical decision or treatment is best for you.

How do I use the new tool?

You will need to log into mybcbsnc.com to get treatment cost information. Once you are logged in with your member ID and secure password, you can use our Find a Doctor search to see estimated cost ranges associated with specific medical practices or facilities. You will need to know the common name of the procedure in order to conduct your search.

Instructions:

  1. Log into mybcbsnc.com and click Find a Doctor in the upper-right section of the page.
  2. Select "Compare Treatment Costs" and type in a treatment or service.
  3. Click "Search" and look for the cost-range information on the right side. To see a detailed view of estimated member costs, click on the cost listed under "Out-of-Pocket" costs.

Why is BCBSNC adding treatment cost information?

We want to help members make informed decisions about their health care. Unfortunately, consumers do not always have the information they need when they need it to help determine what they will be required to pay or why. Our goal in introducing this type of cost-estimate tool is to support you as a BCBSNC member as you consult with your physician and make decisions about the health care services you need.

Is the price I see the price I will be paying?

No. The actual price you pay is dependent on your doctor's selected treatment plan, which should be based on your individual health care needs. Your cost will be subject to your benefits and other plan requirements in effect at the time the claim is processed. To see the estimated amount that you could pay, look at the far-right column for "Out-of-Pocket" cost results. Click the cost-range numbers to see a detailed page showing your specific plan information.

I'm having trouble finding a treatment or procedure. What should I do?

For a treatment category not found in the tool, contact us.

How are estimated costs determined?

The costs listed represent a range of the average treatment costs at a particular facility. This tool calculates costs using the National Customer Cost Tool (NCCT) methodology, which consists of two components:

  • Procedures and Diagnostic Tests - There are several steps involved in generating costs of a procedure at a particular facility. First, we collect claims data and categorize the information into categories. A category may be combined across multiple claims from different providers, such as doctors' charges, hospital charges, lab tests, etc., related to a particular procedure. Second, the cases are reviewed to remove any exceptions that may skew the averages. Third, cost ranges are created for each procedure based on these averages.
  • Office Visit - Each office visit is assigned a code to specifically identify the procedure/service provided. Costs are assigned to each procedure code along with a standard rate, which is based on the ZIP code of the where the service will take place. This cost value is displayed within the tool.
When should I use the tool?

Cost estimates can be used to help you gather approximate cost information for multiple doctors and hospitals prior to having a treatment or procedure. BCBSNC encourages its members to have financial discussions directly with their health care providers as early in the process as possible.

How often is the information updated?

The treatment cost estimate information is updated every six months.

Why is there such a wide variation in cost for some procedures?

Doctor and hospital rates may vary based on differences in selected treatment plans as well as your individual needs. This information is intended to be used only as a reference tool for your convenience and for discussions with your doctor.

The out-of-pocket costs reflect the estimated amount that you could pay for the selected treatment or procedure based on your health plan benefits.

Are all services related to a treatment included in the costs?

The estimated treatment costs represent a collection of services such as doctors' charges, hospital charges and lab tests related to a particular procedure or service. The costs generally include all services related to a treatment or procedure. However, depending on the treatment plan in question, some follow-up care may not be included.

Will my doctor have access to the information?

This tool is available to all BCBSNC members who are registered with Member Services. BCBSNC has notified in-network providers about the new tool. Please feel free to share cost estimates with your doctor if you would like to discuss options about where you should have any recommended treatment.

Who can I contact with additional questions?

Call the BCBSNC Customer Service toll-free number on your member ID card. For technical support, call BCBSNC Web Support at 888-705-7050.