South Carolina Medicaid rate for CPT 99283
Healthy Connections pays $52.35 for CPT 99283 in its October 2026 fee-for-service schedule: the 16th-lowest of 42 state Medicaid programs, at 93% of the $56.245 median.
- Non-facility rate
- $52.35
- Rank
- 27 of 42
- vs. state median
- 93%
- vs. SC Medicare
- 77%
What Healthy Connections publishes for 99283
16th-lowest of 42 · 93% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$41.88 to $73.28 across 6 rate types
- Pediatric Subspecialty
- $73.28
- Enhanced
- $67.53
- General
- $52.35
- Podiatry
- $52.35
- Nurse Midwife
- $41.88
- PA/NP
- $41.88
12 rate types
- Enhanced (FP)
- $67.53
- Enhanced (GT)
- $67.53
- Enhanced (P4)
- $60.59
- General (FP)
- $52.35
- General and 1 more (GT)
- $52.35
- General (P4)
- $46.97
- Nurse Midwife and 1 more (FP)
- $41.88
- Nurse Midwife and 1 more (GT)
- $41.88
- PA/NP (P4)
- $37.57
- Pediatric Subspecialty (FP)
- $73.28
- Pediatric Subspecialty (GT)
- $73.28
- Pediatric Subspecialty (P4)
- $65.76
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
99283 in neighboring states
Each state's comparable non-facility rate for 99283 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $54.80 | +5% |
| North Carolina | $49.81 | -5% |
99283 in every state
Map and ranking of every state program that prices 99283.
Compare 99283 across states99283 under Medicare
Medicare's 2026 non-facility payment for 99283 in South Carolina is $67.76; Healthy Connections's rate is 77% of that. The national amount before geographic adjustment is $69.474.
See 99283 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 99283.
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