South Carolina Behavioral Health Reimbursement Rates
South Carolina behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$158.65
Medicaid 90837
$117.40
Commercial (est.)
$100.00–$135.00
Key CPT Code Rates — South Carolina
CPT 90791
Diagnostic Evaluation
Medicare: $164.68
Medicaid: $121.87
CPT 90832
Psychotherapy, 30 min
Medicare: $81.55
Medicaid: $60.35
CPT 90834
Psychotherapy, 45 min
Medicare: $108.21
Medicaid: $80.07
CPT 90837
Psychotherapy, 60 min
Medicare: $158.65
Medicaid: $117.40
Medicaid in South Carolina
South Carolina Medicaid uses a managed care model. Published estimates approximate 74% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: South Carolina Medicaid fee schedule (effective 2026-01-01).
Explore South Carolina Rates
Use the interactive explorer below — pre-loaded for South Carolina.