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97116 · Hawaii · every payer

What every payer pays for 97116 in Hawaii

Across 7 commercial payers in Hawaii, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $32.52 per 15 min. Hawaii Medicaid's fee-for-service rate, $30.72 per 15 min, is 5.5% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$32.52per 15 min
Hawaii Medicaid
$30.72
Medicare
$30.79
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Payer mix

97116 in Hawaii, by payer type

Medicare's physician fee schedule pays $30.79 in Hawaii.

Hawaii Medicaid$30.72
Medicare$30.79
Commercial (7 payers)$32.52
Kaiser Permanente$32.52
UnitedHealthcare$38.40
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97116 rate in Hawaii

PayerMedianPer hourRates (n)
Kaiser PermanenteCommercial$32.52 per 15 min$130.0828
UnitedHealthcareCommercial$38.40 per 15 min$153.6019
See every payer's 97116 rate in Hawaii

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97116 in Hawaii?

The median of 7 payers' medians is $32.52 per 15 min, from 82 published rates in the October 2026 files.

How does Hawaii Medicaid compare with commercial insurance for 97116?

Hawaii Medicaid pays $30.72 per 15 min, 5.5% below the commercial median.

What does Medicare pay for 97116 in Hawaii?

$30.79 on the RVU26B physician fee schedule (non-facility).

What does Kaiser Permanente pay for 97116 in Hawaii?

Kaiser Permanente's median is $32.52 per 15 min, from 28 rates and 31 providers.

What does UnitedHealthcare pay for 97116 in Hawaii?

UnitedHealthcare's median is $38.40 per 15 min, from 19 rates and 377 providers.