97116 · Kentucky · every payer
What every payer pays for 97116 in Kentucky
6 commercial payers publish Kentucky rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $23.20 per 15 min. Kentucky Medicaid's fee-for-service rate, $10.32 per 15 min, is 56% below that commercial median.
- Commercial median
- $23.20per 15 min
- Kentucky Medicaid
- $10.32
- Medicare
- $27.51
On this page
Payer mix
97116 in Kentucky, by payer type
Medicare's physician fee schedule pays $27.51 in Kentucky.
By payer
Each payer's 97116 rate in Kentucky
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Kentucky?
The median of 6 payers' medians is $23.20 per 15 min, from 188 published rates in the October 2026 files.
How does Kentucky Medicaid compare with commercial insurance for 97116?
Kentucky Medicaid pays $10.32 per 15 min, 56% below the commercial median.
What does Medicare pay for 97116 in Kentucky?
$27.51 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Kentucky?
UnitedHealthcare's median is $22.23 per 15 min, from 131 rates and 483 providers.
What does Aetna pay for 97116 in Kentucky?
Aetna's median is $19.75 per 15 min, from 25 rates and 82 providers.