South Carolina Medicaid FFS is parsed from SCDHHS Base Physicians Fee Schedule, schedule creation date 2026-09-01 (South Carolina Department of Health and Human Services). File effective 2024-07-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2024-07-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $117.29 | $101.59 | 2024-07-01 | 90791 / South Carolina |
| CPT 90792 | $131.58 | $115.87 | 2024-07-01 | 90792 / South Carolina |
| CPT 90832 | $53.38 | $47.01 | 2024-07-01 | 90832 / South Carolina |
| CPT 90834 | $70.42 | $62.15 | 2024-07-01 | 90834 / South Carolina |
| CPT 90837 | $103.83 | $91.73 | 2024-07-01 | 90837 / South Carolina |
| CPT 90839 | $99.81 | $88.57 | 2024-07-01 | 90839 / South Carolina |
| CPT 90846 | $67.12 | $66.90 | 2024-07-01 | 90846 / South Carolina |
| CPT 90847 | $70.31 | $69.89 | 2024-07-01 | 90847 / South Carolina |
| CPT 90853 | $18.83 | $16.49 | 2024-07-01 | 90853 / South Carolina |
How South Carolina Medicaid compares with Medicare and UnitedHealthcare
In South Carolina, Medicaid fee-for-service pays $103.83 for CPT 90837, from the SCDHHS Base Physician file effective 2024-07-01. Medicare pays $163.86 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 63.4% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $135.85, and the middle 80% of published UHC rates run from $83.90 to $187.13 (UHC price transparency file dated 2026-09-01).
Related official rates
- CPT 90837 Medicare and Medicaid FFS in South Carolina
- Compare a 90837 offer in South Carolina
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in South Carolina
- CPT 90834 Medicare and Medicaid FFS in South Carolina
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official South Carolina Medicaid FFS amounts?
South Carolina Medicaid FFS is parsed for CPT 90791 $117.29; CPT 90792 $131.58; CPT 90832 $53.38; CPT 90834 $70.42; CPT 90837 $103.83; CPT 90839 $99.81; CPT 90846 $67.12; CPT 90847 $70.31; CPT 90853 $18.83.
What is the South Carolina Medicaid FFS amount for CPT 90837?
$103.83 (facility $91.73) from SCDHHS Base Physician, effective 2024-07-01, last verified 2026-09-10.
What official file is the South Carolina Medicaid FFS extract from?
South Carolina Department of Health and Human Services: SCDHHS Base Physicians Fee Schedule, schedule creation date 2026-09-01. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are South Carolina Medicaid MCO or commercial rates in these tables?
This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.
How does South Carolina Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
South Carolina Medicaid fee-for-service pays $103.83 for CPT 90837, which is 63.4% of the lowest South Carolina Medicare non-facility amount ($163.86, CMS RVU26D). The UnitedHealthcare median is $135.85 (82.9% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.