South Carolina · G2080

Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in South Carolina

South Carolina Medicare Avg
$30.89
8% below national avg
National Medicare Avg
$33.45
All states combined
Billed Charge (SC)
$96.09
What providers submit
Est. Commercial (SC)
$72.59
National avg: $75.79
Est. Cash / Self-Pay (SC)
$49.59
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

44
Services in SC
5
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Carolina

Provider Medicare Services
Starting Point Of Florence, Inc $30.89 23

South Carolina Pricing in Context

In South Carolina, CPT code G2080 (Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure) carries an average Medicare payment of $30.89 — 8% below the national benchmark of $33.45. 5 providers across the state submitted claims for this procedure in 2023, performing 44 total services. Individual payments in SC ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in South Carolina is $96.09, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because South Carolina sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in South Carolina lands near $72.59, with self-pay cash prices typically around $49.59. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cost in South Carolina?

The average Medicare payment for Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in South Carolina is $30.89, which is 8% below the national average of $33.45. Providers in SC typically bill $96.09 for this procedure.

What does Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cost with insurance in South Carolina?

With commercial insurance in South Carolina, Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure costs an estimated $72.59. Without insurance, the estimated cash price is $49.59. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in South Carolina?

5 providers in South Carolina billed Medicare for Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in 2023, performing 44 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cheaper in South Carolina than the national average?

Yes — Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment, (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure costs 8% below the national average in South Carolina. The state average Medicare payment is $30.89 compared to $33.45 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial