South Carolina Medicaid rate for CPT 99214
Healthy Connections pays $98.84 for CPT 99214 in its October 2026 fee-for-service schedule: the 22nd-lowest of 45 state Medicaid programs, at 98% of the $101.32 median.
- Non-facility rate
- $98.84
- Rank
- 24 of 45
- vs. state median
- 98%
- vs. SC Medicare
- 76%
What Healthy Connections publishes for 99214
22nd-lowest of 45 · 98% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$79.07 to $138.37 across 6 rate types
- Pediatric Subspecialty
- $138.37
- Enhanced
- $127.50
- General
- $98.84
- Podiatry
- $98.84
- Nurse Midwife
- $79.07
- PA/NP
- $79.07
18 rate types
- Enhanced (FP)
- $127.50
- Enhanced (GT)
- $127.50
- Enhanced (P4)
- $127.50
- Enhanced (TH)
- $127.50
- General (FP)
- $98.84
- General and 1 more (GT)
- $98.84
- General (P4)
- $98.84
- General (TH)
- $98.84
- Nurse Midwife and 1 more (FP)
- $79.07
- Nurse Midwife and 1 more (GT)
- $79.07
- Nurse Midwife (SB)
- $68.25
- Nurse Midwife (TH)
- $68.25
- PA/NP (P4)
- $79.07
- PA/NP (TH)
- $79.07
- Pediatric Subspecialty (FP)
- $138.37
- Pediatric Subspecialty (GT)
- $138.37
- Pediatric Subspecialty (P4)
- $138.37
- Pediatric Subspecialty (TH)
- $138.37
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
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $115.71 | +17% |
| North Carolina | $81.76 | -17% |
99214 in every state
Map and ranking of every state program that prices 99214.
Compare 99214 across states99214 under Medicare
Medicare's 2026 non-facility payment for 99214 in South Carolina is $129.83; Healthy Connections's rate is 76% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 99214.
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