97116 · Delaware · every payer
What every payer pays for 97116 in Delaware
Across 3 commercial payers in Delaware, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $26.00 per 15 min. Delaware Medicaid's fee-for-service rate, $28.36 per 15 min, is 9.1% above that commercial median.
- Commercial median
- $26.00per 15 min
- Delaware Medicaid
- $28.36
- Medicare
- $28.94
On this page
Payer mix
97116 in Delaware, by payer type
Medicare's physician fee schedule pays $28.94 in Delaware.
By payer
Each payer's 97116 rate in Delaware
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Delaware?
The median of 3 payers' medians is $26.00 per 15 min, from 84 published rates in the October 2026 files.
How does Delaware Medicaid compare with commercial insurance for 97116?
Delaware Medicaid pays $28.36 per 15 min, 9.1% above the commercial median.
What does Medicare pay for 97116 in Delaware?
$28.94 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Delaware?
UnitedHealthcare's median is $25.16 per 15 min, from 63 rates and 109 providers.
What does Horizon BCBS NJ pay for 97116 in Delaware?
Horizon BCBS NJ's median is $26.84 per 15 min, from 10 rates and 14 providers.