Official South Carolina Medicaid FFS for CPT 90837 (Psychotherapy, 60 minutes with patient) is $103.83 (facility $91.73) from SCDHHS Base Physician, effective 2024-07-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $163.86. Source: CMS RVU26D, October 2026 release and the official South Carolina fee schedule. Not an MCO or commercial rate. The published UnitedHealthcare (Optum Behavioral Health) median is $135.85; the middle 80% of published UHC rates run from $83.90 to $187.13 (file dated 2026-09-01, counted by provider practice state). See what UnitedHealthcare pays in South Carolina.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. South Carolina Medicaid FFS effective 2024-07-01 (SCDHHS Base Physician).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
South Carolina | $163.86 | $134.54 | $103.83 | $135.85 | CMS MPFS |
Compare an offered CPT 90837 rate in South Carolina on Contract Checker v1.3 (code and state prefilled). When UnitedHealthcare publishes rates for this code and state, the tool also compares your offer to the UHC median and the middle 80% of UHC rates, alongside Medicare and Medicaid FFS. UnitedHealthcare in South Carolina (median $135.85).
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Questions
What is the South Carolina Medicaid FFS amount for CPT 90837?
Official South Carolina Medicaid FFS is $103.83 (facility $91.73) from SCDHHS Base Physician, effective 2024-07-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90837 in South Carolina?
For CPT 90837 (Psychotherapy, 60 minutes with patient) in South Carolina, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $163.86 across 1 CMS locality. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does South Carolina Medicaid FFS compare to Medicare for CPT 90837?
South Carolina Medicaid FFS is $103.83; Medicare non-facility PFS is $163.86. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://www.scdhhs.gov/providers/fee-schedules.
What is the UnitedHealthcare commercial median for CPT 90837 in South Carolina?
UnitedHealthcare Optum Health Behavioral Services (OHBS) professional median is $135.85 (10th percentile $83.90, 90th percentile $187.13; 75 rate rows; 291 NPIs). Source: 2026-09-01 UnitedHealthcare of Ohio, Inc. Optum-Health-Behavioral-Services in-network-rates.json.gz, source file dated 2026-09-01. Counted by provider practice state. Aetna and Anthem stay Coming soon. Not an MCO rate.
Is this South Carolina CPT 90837 amount a Medicaid MCO or commercial contracted rate?
Medicaid FFS ($103.83) is fee-for-service, not MCO. The commercial column is UnitedHealthcare median ($135.85 median) when loaded; Aetna and Anthem stay Coming soon.