South Carolina Medicaid rate for CPT 20610
Healthy Connections pays $42.91 for CPT 20610 in its October 2026 fee-for-service schedule: the 7th-lowest of 44 state Medicaid programs, at 78% of the $54.825 median.
- Non-facility rate
- $42.91
- Rank
- 38 of 44
- vs. state median
- 78%
- vs. SC Medicare
- 66%
What Healthy Connections publishes for 20610
7th-lowest of 44 · 78% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$34.33 to $60.08 across 4 rate types
- Pediatric Subspecialty
- $60.08
- General
- $42.91
- Nurse Midwife
- $34.33
- PA/NP
- $34.33
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. SCDHHS Fee Schedules
20610 in neighboring states
Each state's comparable non-facility rate for 20610 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $63.25 | +47% |
| North Carolina | $55.10 | +28% |
20610 in every state
Map and ranking of every state program that prices 20610.
Compare 20610 across states20610 under Medicare
Medicare's 2026 non-facility payment for 20610 in South Carolina is $65.21; Healthy Connections's rate is 66% of that. The national amount before geographic adjustment is $68.806.
See 20610 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 20610.
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