South Carolina Medicaid rate for CPT 90837
Healthy Connections pays $103.83 for CPT 90837 in its October 2026 fee-for-service schedule: the 6th-lowest of 37 state Medicaid programs, at 79% of the $132.06 median.
- Non-facility rate
- $103.83
- Rank
- 32 of 37
- vs. state median
- 79%
- vs. SC Medicare
- 63%
What Healthy Connections publishes for 90837
6th-lowest of 37 · 79% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$83.06 to $145.36 across 4 rate types
- Pediatric Subspecialty
- $145.36
- General
- $103.83
- Nurse Midwife
- $83.06
- PA/NP
- $83.06
6 rate types
- General (GT)
- $103.83
- General (HO)
- $94.42
- Nurse Midwife and 1 more (GT)
- $83.06
- Nurse Midwife and 1 more (HO)
- $75.54
- Pediatric Subspecialty (GT)
- $145.36
- Pediatric Subspecialty (HO)
- $132.19
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
90837 in neighboring states
Each state's comparable non-facility rate for 90837 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $111.16 | +7% |
| North Carolina | $96.44 | -7% |
90837 in every state
Map and ranking of every state program that prices 90837.
Compare 90837 across states90837 under Medicare
Medicare's 2026 non-facility payment for 90837 in South Carolina is $163.86; Healthy Connections's rate is 63% of that. The national amount before geographic adjustment is $167.005.
See 90837 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 90837.
Book a 15-min Medicaid walkthrough