97116 · Utah · every payer
What every payer pays for 97116 in Utah
Across 6 commercial payers in Utah, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $30.38 per 15 min. Utah Medicaid's fee-for-service rate, $26.72 per 15 min, is 12% below that commercial median.
- Commercial median
- $30.38per 15 min
- Utah Medicaid
- $26.72
- Medicare
- $28.20
On this page
Payer mix
97116 in Utah, by payer type
Medicare's physician fee schedule pays $28.20 in Utah.
By payer
Each payer's 97116 rate in Utah
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Utah?
The median of 6 payers' medians is $30.38 per 15 min, from 121 published rates in the October 2026 files.
How does Utah Medicaid compare with commercial insurance for 97116?
Utah Medicaid pays $26.72 per 15 min, 12% below the commercial median.
What does Medicare pay for 97116 in Utah?
$28.20 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Utah?
UnitedHealthcare's median is $28.71 per 15 min, from 56 rates and 163 providers.
What does Kaiser Permanente pay for 97116 in Utah?
Kaiser Permanente's median is $32.04 per 15 min, from 30 rates and 34 providers.