97116 · Colorado · every payer
What every payer pays for 97116 in Colorado
13 commercial payers publish Colorado rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $27.46 per 15 min. Colorado Medicaid's fee-for-service rate, $24.65 per 15 min, is 10% below that commercial median.
- Commercial median
- $27.46per 15 min
- Colorado Medicaid
- $24.65
- Medicare
- $30.04
On this page
Payer mix
97116 in Colorado, by payer type
Medicare's physician fee schedule pays $30.04 in Colorado.
By payer
Each payer's 97116 rate in Colorado
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Colorado?
The median of 13 payers' medians is $27.46 per 15 min, from 346 published rates in the October 2026 files.
How does Colorado Medicaid compare with commercial insurance for 97116?
Colorado Medicaid pays $24.65 per 15 min, 10% below the commercial median.
What does Medicare pay for 97116 in Colorado?
$30.04 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Colorado?
UnitedHealthcare's median is $31.04 per 15 min, from 115 rates and 374 providers.
What does Kaiser Permanente pay for 97116 in Colorado?
Kaiser Permanente's median is $35.53 per 15 min, from 107 rates and 309 providers.