South Carolina Medicaid rate for CPT 99203
Healthy Connections pays $81.29 for CPT 99203 in its October 2026 fee-for-service schedule: the 18th-lowest of 45 state Medicaid programs, at 91% of the $89.35 median.
- Non-facility rate
- $81.29
- Rank
- 28 of 45
- vs. state median
- 91%
- vs. SC Medicare
- 72%
What Healthy Connections publishes for 99203
18th-lowest of 45 · 91% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$65.03 to $113.81 across 6 rate types
- Pediatric Subspecialty
- $113.81
- Enhanced
- $104.87
- General
- $81.29
- Podiatry
- $81.29
- Nurse Midwife
- $65.03
- PA/NP
- $65.03
13 rate types
- Enhanced (FP)
- $104.87
- Enhanced (GT)
- $104.87
- Enhanced (P4)
- $103.58
- General (FP)
- $81.29
- General and 1 more (GT)
- $81.29
- General (P4)
- $80.29
- Nurse Midwife and 1 more (FP)
- $65.03
- Nurse Midwife and 1 more (GT)
- $65.03
- Nurse Midwife and 1 more (P4)
- $64.23
- Nurse Midwife (SB)
- $64.23
- Pediatric Subspecialty (FP)
- $113.81
- Pediatric Subspecialty (GT)
- $113.81
- Pediatric Subspecialty (P4)
- $112.41
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
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $76.53 | -6% |
| North Carolina | $80.86 | -1% |
99203 in every state
Map and ranking of every state program that prices 99203.
Compare 99203 across states99203 under Medicare
Medicare's 2026 non-facility payment for 99203 in South Carolina is $112.30; Healthy Connections's rate is 72% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 99203.
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