97116 · Ohio · every payer
What every payer pays for 97116 in Ohio
Across 9 commercial payers in Ohio, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $27.14 per 15 min. Ohio Medicaid's fee-for-service rate, $16.57 per 15 min, is 39% below that commercial median.
- Commercial median
- $27.14per 15 min
- Ohio Medicaid
- $16.57
- Medicare
- $27.87
On this page
Payer mix
97116 in Ohio, by payer type
Medicare's physician fee schedule pays $27.87 in Ohio.
By payer
Each payer's 97116 rate in Ohio
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Ohio?
The median of 9 payers' medians is $27.14 per 15 min, from 273 published rates in the October 2026 files.
How does Ohio Medicaid compare with commercial insurance for 97116?
Ohio Medicaid pays $16.57 per 15 min, 39% below the commercial median.
What does Medicare pay for 97116 in Ohio?
$27.87 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Ohio?
UnitedHealthcare's median is $23.31 per 15 min, from 174 rates and 601 providers.
What does Kaiser Permanente pay for 97116 in Ohio?
Kaiser Permanente's median is $32.07 per 15 min, from 21 rates and 27 providers.