97116 · New York · every payer
What every payer pays for 97116 in New York
Across 11 commercial payers in New York, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $29.87 per 15 min. New York Medicaid publishes no fee-for-service rate for 97116.
- Commercial median
- $29.87per 15 min
- New York Medicaid
- —
- Medicare
- $28.27+
On this page
Payer mix
97116 in New York, by payer type
Medicare's physician fee schedule pays $28.27–$32.90 in New York across 5 localities.
By payer
Each payer's 97116 rate in New York
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in New York?
The median of 11 payers' medians is $29.87 per 15 min, from 530 published rates in the October 2026 files.
What does Medicare pay for 97116 in New York?
$28.27 to $32.90 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in New York?
UnitedHealthcare's median is $30.13 per 15 min, from 302 rates and 1114 providers.
What does Kaiser Permanente pay for 97116 in New York?
Kaiser Permanente's median is $32.07 per 15 min, from 48 rates and 90 providers.