97116 · Texas · every payer
What every payer pays for 97116 in Texas
14 commercial payers publish Texas rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $27.46 per 15 min. Texas Medicaid's fee-for-service rate, $24.98 per 15 min, is 9.0% below that commercial median.
- Commercial median
- $27.46per 15 min
- Texas Medicaid
- $24.98
- Medicare
- $27.80+
On this page
Payer mix
97116 in Texas, by payer type
Medicare's physician fee schedule pays $27.80–$29.85 in Texas across 8 localities.
By payer
Each payer's 97116 rate in Texas
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Texas?
The median of 14 payers' medians is $27.46 per 15 min, from 619 published rates in the October 2026 files.
How does Texas Medicaid compare with commercial insurance for 97116?
Texas Medicaid pays $24.98 per 15 min, 9.0% below the commercial median.
What does Medicare pay for 97116 in Texas?
$27.80 to $29.85 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Texas?
UnitedHealthcare's median is $25.67 per 15 min, from 224 rates and 2172 providers.
What does BCBS Texas pay for 97116 in Texas?
BCBS Texas's median is $24.18 per 15 min, from 180 rates and 10405 providers.