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97116 · Iowa · every payer

What every payer pays for 97116 in Iowa

7 commercial payers publish Iowa rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $30.07 per 15 min. Iowa Medicaid's fee-for-service rate, $17.29 per 15 min, is 43% below that commercial median.

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

Commercial median
$30.07per 15 min
Iowa Medicaid
$17.29
Medicare
$27.69
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Payer mix

97116 in Iowa, by payer type

Medicare's physician fee schedule pays $27.69 in Iowa.

Iowa Medicaid$17.29
Medicare$27.69
Commercial (7 payers)$30.07
UnitedHealthcare$29.27
Blue KC$30.86
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97116 rate in Iowa

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$29.27 per 15 min$117.0867
Blue KCCommercial$30.86 per 15 min$123.4413
See every payer's 97116 rate in Iowa

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 Iowa?

The median of 7 payers' medians is $30.07 per 15 min, from 135 published rates in the October 2026 files.

How does Iowa Medicaid compare with commercial insurance for 97116?

Iowa Medicaid pays $17.29 per 15 min, 43% below the commercial median.

What does Medicare pay for 97116 in Iowa?

$27.69 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97116 in Iowa?

UnitedHealthcare's median is $29.27 per 15 min, from 67 rates and 202 providers.

What does Blue KC pay for 97116 in Iowa?

Blue KC's median is $30.86 per 15 min, from 13 rates and 14 providers.