97116 · New Mexico · every payer
What every payer pays for 97116 in New Mexico
Across 9 commercial payers in New Mexico, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $27.19 per 15 min. New Mexico Medicaid's fee-for-service rate, $41.41 per 15 min, is 52% above that commercial median.
- Commercial median
- $27.19per 15 min
- New Mexico Medicaid
- $41.41
- Medicare
- $27.99
On this page
Payer mix
97116 in New Mexico, by payer type
Medicare's physician fee schedule pays $27.99 in New Mexico.
By payer
Each payer's 97116 rate in New Mexico
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in New Mexico?
The median of 9 payers' medians is $27.19 per 15 min, from 162 published rates in the October 2026 files.
How does New Mexico Medicaid compare with commercial insurance for 97116?
New Mexico Medicaid pays $41.41 per 15 min, 52% above the commercial median.
What does Medicare pay for 97116 in New Mexico?
$27.99 on the RVU26B physician fee schedule (non-facility).
What does BCBS New Mexico pay for 97116 in New Mexico?
BCBS New Mexico's median is $27.14 per 15 min, from 47 rates and 381 providers.
What does UnitedHealthcare pay for 97116 in New Mexico?
UnitedHealthcare's median is $27.23 per 15 min, from 36 rates and 129 providers.