Short Answer

In North Carolina, a fee-sharing arrangement between lawyers does not increase what you pay. Your total contingency fee stays the same, and any split happens between the lawyers with your informed written consent. Lawyers may not share legal fees with nonlawyers. Medical and insurance reimbursement claims (like Medicare) are paid from the settlement by law; they do not turn a lawful fee-sharing agreement into an out-of-pocket charge to you.

Understanding the Problem

You want to hire a North Carolina personal injury attorney and worry that if your attorney brings in another law firm or signs a third-party fee-sharing agreement, you will owe more out of pocket—especially because your treatment is being billed to Medicare and a secondary insurer, and medical liens may be asserted against any settlement. The core question is: if lawyers split a fee, can they charge you more than the agreed contingency percentage, and how does that interact with liens and bills when the case settles?

Apply the Law

North Carolina allows lawyers to divide a contingency fee with other lawyers if the total fee remains reasonable and you give informed written consent. Your attorney cannot increase your contingency percentage just because another lawyer is involved. North Carolina prohibits sharing legal fees with nonlawyers. Separately, medical providers and certain payers can assert reimbursement rights against your settlement, and North Carolina law caps how much certain provider liens can take from your recovery after attorney’s fees are paid.

Key Requirements

• Written fee agreement controls your obligation: Your contingency percentage and responsibility for case costs must be in writing at the outset.
• Lawyer-to-lawyer fee division needs your consent: If lawyers not in the same firm share the fee, you must agree in writing; the total fee you pay does not increase.
• No fee-sharing with nonlawyers: Your attorney cannot split legal fees with marketing companies, funders, or other nonlawyers.
• Medical lien cap: After attorney’s fees, qualifying medical provider liens together cannot take more than 50% of the remaining settlement; any balance typically becomes a negotiable claim, not an automatic extra fee you owe.
• Medicare/insurer reimbursement: Medicare and some insurers must be repaid from settlement proceeds; payment follows agency rules and is handled during disbursement.

What the Statutes Say

• NC Rule of Professional Conduct 1.5(e) (Division of fees) - Fee division among lawyers requires client consent and a reasonable total fee.
• NC Rule of Professional Conduct 5.4(a) (No fee-sharing with nonlawyers) - Prohibits splitting legal fees with nonlawyers.
• N.C. Gen. Stat. § 44-49 (Medical charges lien) - Allows certain providers to assert liens if they furnish records and bills.
• N.C. Gen. Stat. § 44-50 (Distribution and priority) - Attorney’s fee has priority; provider liens are limited so no more than 50% of the post-fee recovery goes to those liens.

Analysis

Apply the Rule to the Facts: Because your care is billed to Medicare and a secondary insurer, reimbursement will be addressed from the settlement before you receive funds. If your attorney brings in co-counsel, they must obtain your written consent to any fee division, and your agreed contingency percentage should not increase. North Carolina’s lien cap limits how much qualifying provider liens can take after attorney’s fees, which helps protect your share even if the settlement is tight. Any out-of-pocket risk comes from agreed case costs or unpaid balances, not from lawyer fee-sharing.

Process & Timing

1. Who files: You sign a written contingency fee agreement; if co-counsel will share fees, you sign a written consent to the division. Where: With your North Carolina law firm; no court filing is required. What: Contingency fee agreement and written consent to fee division; medical record and billing requests to perfect or evaluate liens. When: At intake or as soon as co-counsel is associated—before settlement disbursement.
2. Your attorney identifies and verifies liens (providers, Medicare, secondary insurer), requests itemized statements, and negotiates reductions where permitted. This often runs in parallel with treatment and settlement talks and can add weeks after settlement to obtain final payoff amounts.
3. Upon settlement, funds go to the attorney trust account. The firm pays the attorney’s fee per your contract, then resolves statutory liens (subject to the 50% cap for qualifying providers) and required reimbursements. You receive the client distribution with a written settlement statement.

Exceptions & Pitfalls

• If a proposed agreement increases your contingency percentage because another lawyer is involved, ask for it to be corrected; the total fee to you should not rise due to fee sharing.
• Be wary of nonlawyer “third parties” seeking a percentage of your recovery as a fee; lawyers cannot share legal fees with nonlawyers.
• Some health plans governed by federal law may claim reimbursement rights not limited by North Carolina’s medical lien cap; the specific outcome depends on the plan’s terms and applicable law.
• Medical providers must furnish itemized bills/records to preserve certain lien rights; if they do not, your attorney may have more room to negotiate at disbursement.
• Clarify in writing whether you owe case costs if there is no recovery; this affects out-of-pocket risk, separate from fee sharing.

Talk to a Personal Injury Attorney

If you’re facing medical liens and worry a fee-sharing arrangement could raise your costs, our firm has experienced attorneys who can explain your options, caps, and timelines. Reach out today. Call (919) 341-7055.

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.