How Much Does a Collaborating Physician Cost in North Carolina? (2026)
By Chris Caulfield, RN, MSN, FNP-BC · Founder & CEO, NP Collaborator
In North Carolina, a collaborating physician typically costs $549–$600 per month, with a median of $549/month — based on 50+ real contracts in North Carolina. Total monthly fees including physician fees, platform fees, and physician malpractice insurance. Source: NP Collaborator Fair Price Report, Edition 1, 2026.
In North Carolina, a collaborating physician typically costs between $549 and $600 per month, with a median of $549/month. That median is in line with the national median of $549/month. These figures come from our own analysis of 50+ real signed North Carolina contracts in The Fair Price for Collaboration Report — the first all-in collaboration cost study funded by the NPs and PAs who pay these fees. You can see how every state compares on our collaborating physician cost by state page.
Why does North Carolina price where it does?
North Carolina sits at the national median ($549–$600). The state requires monthly physician meetings for the first 6 months of a collaborative relationship, then meetings at least every 6 months thereafter. A written quality-improvement plan and 5-year record retention are also required. These ongoing oversight requirements create steady demand for collaboration, keeping fees at the median.
Sources
Rules summarized for context; verify current requirements with the state board.
For the specific licensing and collaboration requirements in North Carolina, see our North Carolina collaborating physician requirements.
What moves your price within the North Carolina band?
Within North Carolina's Fair Price Band, you move toward the lower end after your initial 6-month period ends (when meetings shift from monthly to semi-annual), or when your QI documentation is straightforward. You move toward the upper end during your first 6 months (monthly meeting requirement), when your practice requires intensive QI oversight, or in regions with limited physician availability.
Fair Price Band = 25th–75th percentile of real signed contracts.
North Carolina vs national: how does the cost compare?
North Carolina's median monthly cost is in line with the national median, and its Fair Price Band runs higher at the top. Here is the side-by-side.
| Metric | North Carolina | National |
|---|---|---|
| Fair Price Band (25th–75th percentile) | $549–$600/mo | $499–$599/mo |
| Median monthly cost | $549/mo | $549/mo |
| Sample size | 50+ actual contracts | 2,000+ actual contracts |
How North Carolina compares to similar states
Looking at other states with similar collaborating physician costs can give you a better sense of regional pricing patterns. Here are states with the closest median fees to North Carolina's $549/month.
How do you know your North Carolina quote is fair?
- The quote sits above North Carolina's 75th percentile of $600/month with no stated reason.
- Physician malpractice insurance is excluded from the monthly fee (or left unclear).
- There are no written chart-review terms — cadence, volume, or turnaround.
- A one-time match or onboarding fee is not disclosed up front.
- The all-in monthly cost isn't put in writing against North Carolina's $549–$600/mo band.
Collaborating physician cost in North Carolina: FAQs
How much does a collaborating physician cost in North Carolina?
In North Carolina, a collaborating physician typically costs $549–$600 per month, with a median of $549/month, based on 50+ real contracts in North Carolina. Total monthly fees including physician fees, platform fees, and physician malpractice insurance.
What is a fair price for a collaborating physician in North Carolina?
A fair North Carolina quote falls within that state's Fair Price Band of $549–$600/month, centered on a median of $549/month. A quote above $600/month with no stated reason is worth questioning.
Is a collaborating physician more expensive in North Carolina than the national average?
North Carolina's median of $549/month is in line with the national median of $549/month. Nationally, most nurse practitioners pay $499–$599/month.
Does the North Carolina collaborating physician cost include malpractice insurance?
In our data it does — the North Carolina figures reflect the total monthly fees including physician fees, platform fees, and physician malpractice insurance. Confirm in writing whether any specific quote bundles physician malpractice coverage.
How many contracts is the North Carolina Fair Price data based on?
The North Carolina figures are based on 50+ real signed contracts analyzed for the NP Collaborator Fair Price Report, Edition 1, 2026. We band sample counts rather than publishing exact totals.
Collaborating physicians available in North Carolina now
Live, transparent listings — malpractice included, no startup fees. Prices below reflect real North Carolina collaboration agreements. See all North Carolina collaborating physicians →
63+ verified physicians · Fees $449–$999/mo · malpractice included
Licensed to collaborate with North Carolina nurse practitioners
Licensed to collaborate with North Carolina nurse practitioners
Licensed to collaborate with North Carolina nurse practitioners
Licensed to collaborate with North Carolina nurse practitioners
Browse collaborating physician listings in North Carolina
See real, transparent North Carolina collaborating physician options with malpractice included.
Last updated: August 18, 2026 · NP Collaborator Fair Price Report, Edition 1, 2026