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Medium Length Telephone Consultation

South Carolina rates for HCPCS 99442

A telephone consultation of moderate length with your own clinician about a medical problem, where advice is given and a plan agreed without an in-person visit. It applies when the call is not a follow-up to a recent visit for the same problem and does not lead straight to an appointment. The length of the call determines which version applies.

Rates data updated July 2026.

How much does Medium Length Telephone Consultation cost?

$89.13

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $60.26 to $195.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $89 · 10th to 90th $30 to $347
$50$100$200$500professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$467.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$30.20
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$177.83

Where South Carolina sits

The same service costs 11.0 times more in Oklahoma than in Washington. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 38th of 51

$89.13

OK $407WA $37.15

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.