90791 reimbursement rate in South Carolina by payer (2026)
The 90791 reimbursement rate in South Carolina (Psychiatric diagnostic evaluation) ranges from $94.25 to $219.14 per unit across Medicaid FFS, Medicare (CMS PFS), and UnitedHealthcare (TiC), before patient responsibility. These are Parite ranges for planning, not a guarantee of what you will be paid.
South Carolina therapy reimbursement rates by CPT code. 90791 reimbursement rates by state. All reimbursement rates by state and CPT code.
In South Carolina, the Medicare 90791 high of $169.87 is above the Medicare high in 14 of the other 52 jurisdictions Parite publishes.
Telehealth reimbursement by payer for 90791 in South Carolina
Medicaid reimbursement rate for 90791 in South Carolina
| Payer | Low | High | Median | Source |
|---|---|---|---|---|
| Medicaid FFS | $101.59 | $117.29 | $117.29 | official state Medicaid FFS (Parite parse) · effective 2024-07-01 |
| Medicare (CMS PFS) | $169.87 | $169.87 | $169.87 | CMS PFS RVU26C non-facility |
| UnitedHealthcare (TiC) | $94.25 | $219.14 | $153.69 | UHC OHBS TiC professional outpatient (Parite) |
Source: Parite (goparite.com). Updated 2026-09-17. Labels as Parite provides them: official state Medicaid FFS (Parite parse); CMS PFS RVU26C non-facility; UHC OHBS TiC professional outpatient (Parite). Not a contracted rate for your entity and not a guarantee.
For 90791 in South Carolina, the published Medicaid FFS range tops out at $117.29 and the Medicare range at $169.87.
90791 reimbursement rate in nearby states
Other South Carolina codes
- 90834 reimbursement rate in South Carolina by payer (2026), 90834 Psychotherapy, 45 min
- 90837 reimbursement rate in South Carolina by payer (2026), 90837 Psychotherapy, 60 min
Rates are negotiated, not fixed. A rate your entity negotiated needs a contract in your entity's name, so see payer contracting for telehealth, how to own your payer contracts, behavioral health payer contracting, and rent a PC vs build your own professional corporation. Same code in other states.
Questions, answered
What is the Medicaid reimbursement rate for 90791 in South Carolina?
The Medicaid reimbursement rate for 90791 in South Carolina is $101.59 to $117.29 per unit. These are planning ranges from Parite, not a guarantee of payment.
What is the Medicare reimbursement rate for 90791 in South Carolina?
The Medicare reimbursement rate for 90791 in South Carolina is $169.87 per unit. These are planning ranges from Parite, not a guarantee of payment.
What is the UnitedHealthcare reimbursement rate for 90791 in South Carolina?
The UnitedHealthcare reimbursement rate for 90791 in South Carolina is $94.25 to $219.14 per unit. These are planning ranges from Parite, not a guarantee of payment.
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