97116 · Illinois · every payer
What every payer pays for 97116 in Illinois
Across 13 commercial payers in Illinois, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $29.19 per 15 min. Illinois Medicaid's fee-for-service rate, $18.89 per 15 min, is 35% below that commercial median.
- Commercial median
- $29.19per 15 min
- Illinois Medicaid
- $18.89
- Medicare
- $28.06+
On this page
Payer mix
97116 in Illinois, by payer type
Medicare's physician fee schedule pays $28.06–$29.79 in Illinois across 4 localities.
By payer
Each payer's 97116 rate in Illinois
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Illinois?
The median of 13 payers' medians is $29.19 per 15 min, from 414 published rates in the October 2026 files.
How does Illinois Medicaid compare with commercial insurance for 97116?
Illinois Medicaid pays $18.89 per 15 min, 35% below the commercial median.
What does Medicare pay for 97116 in Illinois?
$28.06 to $29.79 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Illinois?
UnitedHealthcare's median is $26.38 per 15 min, from 180 rates and 695 providers.
What does BCBS Illinois pay for 97116 in Illinois?
BCBS Illinois's median is $29.67 per 15 min, from 59 rates and 8294 providers.