97116 · District of Columbia · every payer
What every payer pays for 97116 in District of Columbia
Across 4 commercial payers in District of Columbia, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $27.98 per 15 min. District of Columbia Medicaid's fee-for-service rate, $25.88 per 15 min, is 7.5% below that commercial median.
- Commercial median
- $27.98per 15 min
- District of Columbia Medicaid
- $25.88
- Medicare
- $32.35
On this page
Payer mix
97116 in District of Columbia, by payer type
Medicare's physician fee schedule pays $32.35 in District of Columbia.
By payer
Each payer's 97116 rate in District of Columbia
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in District of Columbia?
The median of 4 payers' medians is $27.98 per 15 min, from 63 published rates in the October 2026 files.
How does District of Columbia Medicaid compare with commercial insurance for 97116?
District of Columbia Medicaid pays $25.88 per 15 min, 7.5% below the commercial median.
What does Medicare pay for 97116 in District of Columbia?
$32.35 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in District of Columbia?
UnitedHealthcare's median is $35.14 per 15 min, from 37 rates and 72 providers.
What does BCBS Texas pay for 97116 in District of Columbia?
BCBS Texas's median is $24.18 per 15 min, from 11 rates and 20 providers.