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Cognitive Assessment and Care Planning Visit

South Carolina rates for HCPCS 99483

This is a dedicated office visit where a doctor or other qualified provider evaluates a patient's memory and thinking abilities and develops a personalized care plan based on the results. It is typically used for patients with concerns about memory loss or a diagnosed cognitive condition such as dementia, and involves input from the patient and often a caregiver.

Rates data updated July 2026.

How much does Cognitive Assessment and Care Planning Visit cost?

$219

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$174 to $257
FacilityA hospital or hospital-owned outpatient department$240$186 to $309

How much rates vary

Facilitymedian $240 · 10th to 90th $162 to $407Professionalmedian $219 · 10th to 90th $151 to $347
$100$200$500facility $240professional $219

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
$151.36
Median
$213.80
Typical High
$316.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$269.15
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$346.74

Where South Carolina sits

The same service costs 2.1 times more in Minnesota than in Kentucky. 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· 25th of 51

$219

MN $427KY $200

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.