97116 · South Dakota · every payer
What every payer pays for 97116 in South Dakota
Across 3 commercial payers in South Dakota, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $30.86 per 15 min. South Dakota Medicaid's fee-for-service rate, $27.83 per 15 min, is 9.8% below that commercial median.
- Commercial median
- $30.86per 15 min
- South Dakota Medicaid
- $27.83
- Medicare
- $28.84
On this page
Payer mix
97116 in South Dakota, by payer type
Medicare's physician fee schedule pays $28.84 in South Dakota.
By payer
Each payer's 97116 rate in South Dakota
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in South Dakota?
The median of 3 payers' medians is $30.86 per 15 min, from 38 published rates in the October 2026 files.
How does South Dakota Medicaid compare with commercial insurance for 97116?
South Dakota Medicaid pays $27.83 per 15 min, 9.8% below the commercial median.
What does Medicare pay for 97116 in South Dakota?
$28.84 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in South Dakota?
UnitedHealthcare's median is $27.52 per 15 min, from 24 rates and 66 providers.
What does Wellmark BCBS pay for 97116 in South Dakota?
Wellmark BCBS's median is $35.70 per 15 min, from 9 rates and 398 providers.