Every state, kept current
The Rates plan
$29/mo7-day free trialThese 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 and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
South Carolina's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,584 | Jul 2026 | 69.6% | $69.94 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 1,891 | Jul 2026 | 73.4% | $23.99 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,486 | Jul 2026 | 75.5% | $72.37 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 788 | Jul 2026 | -- | -- | -- |
| Vision | 113 | Jul 2025 | 54.3% | $98.25 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 33 | Jul 2024 | 62.7% | $103.83 Psychotherapy, 60 minutes (90837) | -- |
| Anesthesia | 273 | Jul 2017 | -- | -- | -- |
| Hearing | 10 | Jul 2024 | -- | -- | -- |
| Transport | 12 | 2026 | -- | -- | -- |
| State-Specific Services | 467 | Jul 2026 | 65.6% | $20.92 Telehealth originating site facility fee (Q3014) | -- |
| Dental | South Carolina's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
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.
Where South Carolina publishes its fee schedules
- Publisher
- South Carolina Department of Health and Human Services (SCDHHS)
- Program
- Healthy Connections Medicaid (Healthy Connections)
- Official source
- https://www.scdhhs.gov/providers/fee-schedules
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete South Carolina schedules, every category and every code, export as CSV on the Rates plan.
Compare South Carolina nationally
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, effective through Jul 2026, all collected and normalized here with plain-language procedure names. South Carolina Department of Health and Human Services (SCDHHS) publishes South Carolina's Medicaid fee schedules.
Who publishes South Carolina's Medicaid fee schedule?
South Carolina Department of Health and Human Services (SCDHHS) publishes South Carolina's Medicaid fee schedules. The state's own fee-schedule page is https://www.scdhhs.gov/providers/fee-schedules. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does South Carolina Medicaid pay for common services?
An established-patient office visit (99213) pays $69.94, a two-view chest X-ray (71046) $23.99 and a CPAP device (E0601) $72.37. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
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 42 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), Vision (113 codes), Behavioral Health (33 codes), Anesthesia (273 codes), Hearing (10 codes), Transport (12 codes), State-Specific Services (467 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, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.