U.S. House seat for North Carolina's 4th congressional district. Representatives serve two-year terms.

5 candidates filed, 2 active for the 2026 House election in North Carolina District 4. Party primary on Mar 3, 2026. General election on Nov 3, 2026.
| Year | Winner | Result | Runner-Up | Total Votes |
|---|---|---|---|---|
| 2024 | Valerie P. Foushee D | 71.8% | 428,780 | |
| 2022 | Valerie P Foushee D | 66.9% | 291,425 | |
| 2020 | David E Price D | 67.3% | 493,719 | |
| 2018 | David Price D | 72.4% | 341,403 | |
| 2016 | David E Price D | 68.2% | 409,541 | |
| 2014 | David E Price D | 74.7% | 227,362 | |
| 2012 | David E Price D | 74.5% | 348,485 | |
| 2010 | David E Price D | 57.2% | 271,832 | |
| 2008 | David E Price D | 63.3% | 419,698 | |
| 2006 | David E Price D | 65.0% | 195,939 | |
| 2004 | David E Price D | 64.1% | 339,158 | |
| 2002 | David E Price D | 61.2% | 216,046 | |
| 2000 | David E Price D | 61.6% | 325,870 | |
| 1998 | David E Price D | 57.4% | 224,910 | |
| 1996 | David E Price D | 54.4% | 288,984 |