97116 · Georgia · every payer
What every payer pays for 97116 in Georgia
11 commercial payers publish Georgia rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $27.53 per 15 min. Georgia Medicaid's fee-for-service rate, $18.85 per 15 min, is 32% below that commercial median.
- Commercial median
- $27.53per 15 min
- Georgia Medicaid
- $18.85
- Medicare
- $27.64+
On this page
Payer mix
97116 in Georgia, by payer type
Medicare's physician fee schedule pays $27.64–$29.39 in Georgia across 2 localities.
By payer
Each payer's 97116 rate in Georgia
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Georgia?
The median of 11 payers' medians is $27.53 per 15 min, from 293 published rates in the October 2026 files.
How does Georgia Medicaid compare with commercial insurance for 97116?
Georgia Medicaid pays $18.85 per 15 min, 32% below the commercial median.
What does Medicare pay for 97116 in Georgia?
$27.64 to $29.39 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Georgia?
UnitedHealthcare's median is $30.92 per 15 min, from 134 rates and 298 providers.
What does BCBS Michigan pay for 97116 in Georgia?
BCBS Michigan's median is $23.02 per 15 min, from 33 rates and 1537 providers.