What every payer pays for 97116 in New Jersey
9 commercial payers publish New Jersey rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $30.47 per 15 min. New Jersey Medicaid's fee-for-service rate, $14.70 per 15 min, is 52% below that commercial median.
- Commercial median
- $30.47per 15 min
- New Jersey Medicaid
- $14.70
- Medicare
- $30.95+
On this page
97116 in New Jersey, by payer type
Medicare's physician fee schedule pays $30.95–$32.22 in New Jersey across 2 localities.
Each payer's 97116 rate in New Jersey
Frequently asked questions
What do commercial payers pay for 97116 in New Jersey?
The median of 9 payers' medians is $30.47 per 15 min, from 558 published rates in the October 2026 files.
How does New Jersey Medicaid compare with commercial insurance for 97116?
New Jersey Medicaid pays $14.70 per 15 min, 52% below the commercial median.
What does Medicare pay for 97116 in New Jersey?
$30.95 to $32.22 on the RVU26B physician fee schedule (non-facility).
What does Horizon BCBS NJ pay for 97116 in New Jersey?
Horizon BCBS NJ's median is $27.46 per 15 min, from 173 rates and 3255 providers.
What does UnitedHealthcare pay for 97116 in New Jersey?
UnitedHealthcare's median is $21.07 per 15 min, from 168 rates and 648 providers.