South Carolina Medicaid Fee Schedule

South Carolina publishes 11,657 Medicaid fee-for-service rates across 10 service categories. Pooled across categories with a national Medicare comparator, South Carolina's published rates run a median 70.5% of the Medicare amount, ranking 41 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes South Carolina schedules export as CSV with the Rates plan.

  • Every code on all 51 published schedules
  • Full-schedule CSV export
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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South Carolina's published schedules by category

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.

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Frequently asked questions

Does South Carolina publish a Medicaid fee schedule?

Yes. South Carolina publishes 11,657 Medicaid fee-for-service procedure rates across 10 service categories, all collected and normalized here with plain-language procedure names.

How do South Carolina's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, South Carolina's published rates run a median 70.5% of the Medicare amount, ranking 41 of 49 jurisdictions with a comparable basis.

What service categories does South Carolina publish?

Physician (6,584 codes), Lab & Imaging (1,891 codes), DME & Supplies (1,486 codes), Drugs (788 codes), Other Services (467 codes), Anesthesia (273 codes), Vision (113 codes), Behavioral Health (33 codes), Transport (12 codes), Hearing (10 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from South Carolina's currently published fee schedules and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.