What every payer pays for 97116 in Massachusetts
9 commercial payers publish Massachusetts rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $29.47 per 15 min. Massachusetts Medicaid's fee-for-service rate, $22.47 per 15 min, is 24% below that commercial median.
- Commercial median
- $29.47per 15 min
- Massachusetts Medicaid
- $22.47
- Medicare
- $29.96+
On this page
97116 in Massachusetts, by payer type
Medicare's physician fee schedule pays $29.96–$32.29 in Massachusetts across 2 localities.
Each payer's 97116 rate in Massachusetts
Frequently asked questions
What do commercial payers pay for 97116 in Massachusetts?
The median of 9 payers' medians is $29.47 per 15 min, from 251 published rates in the October 2026 files.
How does Massachusetts Medicaid compare with commercial insurance for 97116?
Massachusetts Medicaid pays $22.47 per 15 min, 24% below the commercial median.
What does Medicare pay for 97116 in Massachusetts?
$29.96 to $32.29 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Massachusetts?
UnitedHealthcare's median is $33.14 per 15 min, from 115 rates and 401 providers.
What does Kaiser Permanente pay for 97116 in Massachusetts?
Kaiser Permanente's median is $32.12 per 15 min, from 38 rates and 49 providers.