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97116 · Montana · every payer

What every payer pays for 97116 in Montana

Across 3 commercial payers in Montana, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $31.04 per 15 min. Montana Medicaid's fee-for-service rate, $40.85 per 15 min, is 32% above that commercial median.

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

Commercial median
$31.04per 15 min
Montana Medicaid
$40.85
Medicare
$29.06
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Payer mix

97116 in Montana, by payer type

Medicare's physician fee schedule pays $29.06 in Montana.

Montana Medicaid$40.85
Medicare$29.06
Commercial (3 payers)$31.04
Kaiser Permanente$37.77
UnitedHealthcare$31.04
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97116 rate in Montana

PayerMedianPer hourRates (n)
Kaiser PermanenteCommercial$37.77 per 15 min$151.0823
UnitedHealthcareCommercial$31.04 per 15 min$124.1619
See every payer's 97116 rate in Montana

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 Montana?

The median of 3 payers' medians is $31.04 per 15 min, from 48 published rates in the October 2026 files.

How does Montana Medicaid compare with commercial insurance for 97116?

Montana Medicaid pays $40.85 per 15 min, 32% above the commercial median.

What does Medicare pay for 97116 in Montana?

$29.06 on the RVU26B physician fee schedule (non-facility).

What does Kaiser Permanente pay for 97116 in Montana?

Kaiser Permanente's median is $37.77 per 15 min, from 23 rates and 12 providers.

What does UnitedHealthcare pay for 97116 in Montana?

UnitedHealthcare's median is $31.04 per 15 min, from 19 rates and 121 providers.