97116 · South Carolina · every payer
What every payer pays for 97116 in South Carolina
9 commercial payers publish South Carolina rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $27.53 per 15 min. South Carolina Medicaid's fee-for-service rate, $18.96 per 15 min, is 31% below that commercial median.
- Commercial median
- $27.53per 15 min
- South Carolina Medicaid
- $18.96
- Medicare
- $27.97
On this page
Payer mix
97116 in South Carolina, by payer type
Medicare's physician fee schedule pays $27.97 in South Carolina.
By payer
Each payer's 97116 rate in South Carolina
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in South Carolina?
The median of 9 payers' medians is $27.53 per 15 min, from 300 published rates in the October 2026 files.
How does South Carolina Medicaid compare with commercial insurance for 97116?
South Carolina Medicaid pays $18.96 per 15 min, 31% below the commercial median.
What does Medicare pay for 97116 in South Carolina?
$27.97 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in South Carolina?
UnitedHealthcare's median is $26.71 per 15 min, from 112 rates and 329 providers.
What does BCBS South Carolina pay for 97116 in South Carolina?
BCBS South Carolina's median is $60.97 per 15 min, from 62 rates and 27 providers.