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97116 · Idaho · every payer

What every payer pays for 97116 in Idaho

Across 5 commercial payers in Idaho, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $28.00 per 15 min. Idaho Medicaid's fee-for-service rate, $24.01 per 15 min, is 14% below that commercial median.

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

Commercial median
$28.00per 15 min
Idaho Medicaid
$24.01
Medicare
$27.79
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Payer mix

97116 in Idaho, by payer type

Medicare's physician fee schedule pays $27.79 in Idaho.

Idaho Medicaid$24.01
Medicare$27.79
Commercial (5 payers)$28.00
UnitedHealthcare$27.23
Kaiser Permanente$30.32
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97116 rate in Idaho

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$27.23 per 15 min$108.9233
Kaiser PermanenteCommercial$30.32 per 15 min$121.2822
See every payer's 97116 rate in Idaho

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 Idaho?

The median of 5 payers' medians is $28.00 per 15 min, from 85 published rates in the October 2026 files.

How does Idaho Medicaid compare with commercial insurance for 97116?

Idaho Medicaid pays $24.01 per 15 min, 14% below the commercial median.

What does Medicare pay for 97116 in Idaho?

$27.79 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97116 in Idaho?

UnitedHealthcare's median is $27.23 per 15 min, from 33 rates and 138 providers.

What does Kaiser Permanente pay for 97116 in Idaho?

Kaiser Permanente's median is $30.32 per 15 min, from 22 rates and 23 providers.