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97116 · Oregon · every payer

What every payer pays for 97116 in Oregon

Across 6 commercial payers in Oregon, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $30.55 per 15 min. Oregon Medicaid's fee-for-service rate, $23.49 per 15 min, is 23% below that commercial median.

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

Commercial median
$30.55per 15 min
Oregon Medicaid
$23.49
Medicare
$28.90+
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Payer mix

97116 in Oregon, by payer type

Medicare's physician fee schedule pays $28.90–$30.73 in Oregon across 2 localities.

Oregon Medicaid$23.49
Medicare$30.73$28.90 low
Commercial (6 payers)$30.55
UnitedHealthcare$31.04
Kaiser Permanente$32.07
per 15 min. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97116 rate in Oregon

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$31.04 per 15 min$124.1659
Kaiser PermanenteCommercial$32.07 per 15 min$128.2849
See every payer's 97116 rate in Oregon

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 Oregon?

The median of 6 payers' medians is $30.55 per 15 min, from 178 published rates in the October 2026 files.

How does Oregon Medicaid compare with commercial insurance for 97116?

Oregon Medicaid pays $23.49 per 15 min, 23% below the commercial median.

What does Medicare pay for 97116 in Oregon?

$28.90 to $30.73 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97116 in Oregon?

UnitedHealthcare's median is $31.04 per 15 min, from 59 rates and 272 providers.

What does Kaiser Permanente pay for 97116 in Oregon?

Kaiser Permanente's median is $32.07 per 15 min, from 49 rates and 67 providers.