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Work or Disability Evaluation Exam

South Carolina rates for HCPCS 99456

A detailed examination and written report on how an injury or illness affects a person's ability to work, carried out by a doctor who is not the patient's usual treating doctor. It covers the history, an examination, a diagnosis, an opinion on what the person can and cannot do, and completion of the required forms and reports.

Rates data updated July 2026.

How much does Work or Disability Evaluation Exam cost?

$87.10

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $87.10 to $302.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $87 to $398Professionalmedian $87 · 10th to 90th $87 to $759
$100$200$500$1Kfacility $100professional $87

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$323.59
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$380.19

Where South Carolina sits

The same service costs 30.9 times more in Minnesota than in North Carolina. 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· 26th of 51

$87.10

MN $2,512NC $81.28

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.