97116 · Missouri · every payer
What every payer pays for 97116 in Missouri
9 commercial payers publish Missouri rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $27.83 per 15 min. Missouri Medicaid's fee-for-service rate, $24.65 per 15 min, is 11% below that commercial median.
- Commercial median
- $27.83per 15 min
- Missouri Medicaid
- $24.65
- Medicare
- $27.16+
On this page
Payer mix
97116 in Missouri, by payer type
Medicare's physician fee schedule pays $27.16–$28.40 in Missouri across 3 localities.
By payer
Each payer's 97116 rate in Missouri
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Missouri?
The median of 9 payers' medians is $27.83 per 15 min, from 268 published rates in the October 2026 files.
How does Missouri Medicaid compare with commercial insurance for 97116?
Missouri Medicaid pays $24.65 per 15 min, 11% below the commercial median.
What does Medicare pay for 97116 in Missouri?
$27.16 to $28.40 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Missouri?
UnitedHealthcare's median is $25.98 per 15 min, from 95 rates and 347 providers.
What does Blue KC pay for 97116 in Missouri?
Blue KC's median is $30.07 per 15 min, from 41 rates and 338 providers.