97116 · Connecticut · every payer
What every payer pays for 97116 in Connecticut
Across 5 commercial payers in Connecticut, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $27.19 per 15 min. Connecticut Medicaid's fee-for-service rate, $19.66 per 15 min, is 28% below that commercial median.
- Commercial median
- $27.19per 15 min
- Connecticut Medicaid
- $19.66
- Medicare
- $30.48
On this page
Payer mix
97116 in Connecticut, by payer type
Medicare's physician fee schedule pays $30.48 in Connecticut.
By payer
Each payer's 97116 rate in Connecticut
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Connecticut?
The median of 5 payers' medians is $27.19 per 15 min, from 136 published rates in the October 2026 files.
How does Connecticut Medicaid compare with commercial insurance for 97116?
Connecticut Medicaid pays $19.66 per 15 min, 28% below the commercial median.
What does Medicare pay for 97116 in Connecticut?
$30.48 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Connecticut?
UnitedHealthcare's median is $28.58 per 15 min, from 84 rates and 236 providers.
What does Kaiser Permanente pay for 97116 in Connecticut?
Kaiser Permanente's median is $32.07 per 15 min, from 17 rates and 16 providers.