What every payer pays for 97116 in Washington
12 commercial payers publish Washington rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $29.66 per 15 min. Washington Medicaid's fee-for-service rate, $17.58 per 15 min, is 41% below that commercial median.
- Commercial median
- $29.66per 15 min
- Washington Medicaid
- $17.58
- Medicare
- $29.90+
On this page
97116 in Washington, by payer type
Medicare's physician fee schedule pays $29.90–$32.86 in Washington across 2 localities.
Each payer's 97116 rate in Washington
Frequently asked questions
What do commercial payers pay for 97116 in Washington?
The median of 12 payers' medians is $29.66 per 15 min, from 356 published rates in the October 2026 files.
How does Washington Medicaid compare with commercial insurance for 97116?
Washington Medicaid pays $17.58 per 15 min, 41% below the commercial median.
What does Medicare pay for 97116 in Washington?
$29.90 to $32.86 on the RVU26B physician fee schedule (non-facility).
What does Kaiser Permanente pay for 97116 in Washington?
Kaiser Permanente's median is $37.77 per 15 min, from 162 rates and 639 providers.
What does UnitedHealthcare pay for 97116 in Washington?
UnitedHealthcare's median is $28.64 per 15 min, from 90 rates and 647 providers.