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Ongoing Daily Care For A Very Low Birth Weight Newborn

South Carolina rates for HCPCS 99478

A newborn who is not critically ill but still needs a high level of monitoring, most often because of a very low birth weight, receives ongoing daily medical management in the hospital. This covers each additional day of this intensive newborn care for the smallest, lowest-weight babies, rather than the initial day of care or care for a critically ill infant.

Rates data updated July 2026.

How much does Ongoing Daily Care For A Very Low Birth Weight Newborn cost?

$126

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $112 to $148.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158 · 10th to 90th $112 to $263Professionalmedian $126 · 10th to 90th $102 to $178
$50.0$100.0$200.0$500.0$1.0Kfacility $158professional $126

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
$102.33
Median
$120.23
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$281.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$208.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$218.78

Where South Carolina sits

The same service costs 2.5 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Carolina $126 · 46th of 51
MN $275AL $112

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.