97116 · Maryland · every payer
What every payer pays for 97116 in Maryland
Across 6 commercial payers in Maryland, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $26.80 per 15 min. Maryland Medicaid's fee-for-service rate, $23.45 per 15 min, is 13% below that commercial median.
- Commercial median
- $26.80per 15 min
- Maryland Medicaid
- $23.45
- Medicare
- $29.35+
On this page
Payer mix
97116 in Maryland, by payer type
Medicare's physician fee schedule pays $29.35–$30.38 in Maryland across 2 localities.
By payer
Each payer's 97116 rate in Maryland
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Maryland?
The median of 6 payers' medians is $26.80 per 15 min, from 250 published rates in the October 2026 files.
How does Maryland Medicaid compare with commercial insurance for 97116?
Maryland Medicaid pays $23.45 per 15 min, 13% below the commercial median.
What does Medicare pay for 97116 in Maryland?
$29.35 to $30.38 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Maryland?
UnitedHealthcare's median is $26.27 per 15 min, from 168 rates and 684 providers.
What does Kaiser Permanente pay for 97116 in Maryland?
Kaiser Permanente's median is $32.06 per 15 min, from 24 rates and 37 providers.