97116 · Wisconsin · every payer
What every payer pays for 97116 in Wisconsin
8 commercial payers publish Wisconsin rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $29.75 per 15 min. Wisconsin Medicaid's fee-for-service rate, $17.29 per 15 min, is 42% below that commercial median.
- Commercial median
- $29.75per 15 min
- Wisconsin Medicaid
- $17.29
- Medicare
- $28.25
On this page
Payer mix
97116 in Wisconsin, by payer type
Medicare's physician fee schedule pays $28.25 in Wisconsin.
By payer
Each payer's 97116 rate in Wisconsin
FAQ
Frequently asked questions
What do commercial payers pay for 97116 in Wisconsin?
The median of 8 payers' medians is $29.75 per 15 min, from 181 published rates in the October 2026 files.
How does Wisconsin Medicaid compare with commercial insurance for 97116?
Wisconsin Medicaid pays $17.29 per 15 min, 42% below the commercial median.
What does Medicare pay for 97116 in Wisconsin?
$28.25 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Wisconsin?
UnitedHealthcare's median is $29.83 per 15 min, from 103 rates and 264 providers.
What does Kaiser Permanente pay for 97116 in Wisconsin?
Kaiser Permanente's median is $31.40 per 15 min, from 20 rates and 24 providers.