97116 · Rhode Island · every payer
What every payer pays for 97116 in Rhode Island
Across 4 commercial payers in Rhode Island, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $26.64 per 15 min. Rhode Island Medicaid's fee-for-service rate, $17.75 per 15 min, is 33% below that commercial median.
- Commercial median
- $26.64per 15 min
- Rhode Island Medicaid
- $17.75
- Medicare
- $29.76
On this page
Payer mix
97116 in Rhode Island, by payer type
Medicare's physician fee schedule pays $29.76 in Rhode Island.
By payer
Each payer's 97116 rate in Rhode Island
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Rhode Island?
The median of 4 payers' medians is $26.64 per 15 min, from 51 published rates in the October 2026 files.
How does Rhode Island Medicaid compare with commercial insurance for 97116?
Rhode Island Medicaid pays $17.75 per 15 min, 33% below the commercial median.
What does Medicare pay for 97116 in Rhode Island?
$29.76 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Rhode Island?
UnitedHealthcare's median is $26.44 per 15 min, from 34 rates and 71 providers.
What does Kaiser Permanente pay for 97116 in Rhode Island?
Kaiser Permanente's median is $28.86 per 15 min, from 7 rates and 6 providers.