What every payer pays for 97140 in Pennsylvania
13 commercial payers publish Pennsylvania rates for 97140 (physician and practitioner services (fee schedule)), and the median of their medians is $24.91 per 15 min. Pennsylvania Medicaid's fee-for-service rate, $21.03 per 15 min, is 16% below that commercial median.
- Commercial median
- $24.91per 15 min
- Pennsylvania Medicaid
- $21.03
- Medicare
- $26.64+
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97140 in Pennsylvania, by payer type
Medicare's physician fee schedule pays $26.64–$28.58 in Pennsylvania across 2 localities.
Each payer's 97140 rate in Pennsylvania
Frequently asked questions
What do commercial payers pay for 97140 in Pennsylvania?
The median of 13 payers' medians is $24.91 per 15 min, from 455 published rates in the October 2026 files.
How does Pennsylvania Medicaid compare with commercial insurance for 97140?
Pennsylvania Medicaid pays $21.03 per 15 min, 16% below the commercial median.
What does Medicare pay for 97140 in Pennsylvania?
$26.64 to $28.58 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97140 in Pennsylvania?
UnitedHealthcare's median is $25.25 per 15 min, from 210 rates and 875 providers.
What does Horizon BCBS NJ pay for 97140 in Pennsylvania?
Horizon BCBS NJ's median is $24.91 per 15 min, from 52 rates and 155 providers.