97116 · Virginia · every payer
What every payer pays for 97116 in Virginia
Across 8 commercial payers in Virginia, the middle payer's median for 97116 (physician and practitioner services (fee schedule)) is $27.46 per 15 min. Virginia Medicaid's fee-for-service rate, $25.17 per 15 min, is 8.3% below that commercial median.
- Commercial median
- $27.46per 15 min
- Virginia Medicaid
- $25.17
- Medicare
- $28.73
On this page
Payer mix
97116 in Virginia, by payer type
Medicare's physician fee schedule pays $28.73 in Virginia.
By payer
Each payer's 97116 rate in Virginia
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Virginia?
The median of 8 payers' medians is $27.46 per 15 min, from 300 published rates in the October 2026 files.
How does Virginia Medicaid compare with commercial insurance for 97116?
Virginia Medicaid pays $25.17 per 15 min, 8.3% below the commercial median.
What does Medicare pay for 97116 in Virginia?
$28.73 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Virginia?
UnitedHealthcare's median is $26.36 per 15 min, from 193 rates and 684 providers.
What does Kaiser Permanente pay for 97116 in Virginia?
Kaiser Permanente's median is $32.06 per 15 min, from 37 rates and 55 providers.