Real-Time Healthcare Payer Benchmarks for BCBS of Texas in Texas

Accepting BCBS of Texas in Texas shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

BCBS of Texas Benchmarks for Physical Therapy Practices in Texas

Real-Time Physical Therapy Practice Benchmarks in Texas

Average Reimbursement Per Visit

While negotiated reimbursement rates between BCBS of Texas and a healthcare provider are confidential, we can give you a general sense for BCBS of Texas's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$110.15
Latest
$102.12
Expected
$110.15
High
$121.59
Mean
$105.90
Low
$98.48
Median
$105.15

Recent Visit CPT Code Combinations

Data refreshed 1 day ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 2 (No Assistant), 97112 x 2 (No Assistant)
Units
4 units @ $25.26 average per unit
Reimbursement
$101.06 total reimbursement
4$101.06$25.26
97530 x 4 (No Assistant)
Units
4 units @ $30.06 average per unit
Reimbursement
$120.22 total reimbursement
4$120.22$30.06
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $23.51 average per unit
Reimbursement
$94.05 total reimbursement
4$94.05$23.51
97110 x 3 (No Assistant)
Units
3 units @ $23.12 average per unit
Reimbursement
$69.37 total reimbursement
3$69.37$23.12
97110 x 1 (No Assistant), 97112 x 2 (No Assistant)
Units
3 units @ $26.38 average per unit
Reimbursement
$79.13 total reimbursement
3$79.13$26.38
97110 x 1 (No Assistant), 97140 x 2 (No Assistant)
Units
3 units @ $21.81 average per unit
Reimbursement
$65.43 total reimbursement
3$65.43$21.81
97110 x 3 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $23.09 average per unit
Reimbursement
$92.35 total reimbursement
4$92.35$23.09
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97161 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
6 units @ $34.35 average per unit
Reimbursement
$206.08 total reimbursement
6$206.08$34.35
97110 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
2 units @ $49.21 average per unit
Reimbursement
$98.43 total reimbursement
2$98.43$49.21
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $25.84 average per unit
Reimbursement
$103.37 total reimbursement
4$103.37$25.84
97110 x 1 (No Assistant), 97140 x 3 (No Assistant)
Units
4 units @ $22.06 average per unit
Reimbursement
$88.24 total reimbursement
4$88.24$22.06
97110 x 1 (No Assistant), 97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
5 units @ $27.28 average per unit
Reimbursement
$136.41 total reimbursement
5$136.41$27.28
97110 x 3 (No Assistant), 97112 x 1 (No Assistant)
Units
4 units @ $24.43 average per unit
Reimbursement
$97.71 total reimbursement
4$97.71$24.43
97110 x 4 (No Assistant)
Units
4 units @ $23.21 average per unit
Reimbursement
$92.83 total reimbursement
4$92.83$23.21
97140 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $25.15 average per unit
Reimbursement
$100.61 total reimbursement
4$100.61$25.15
97161 x 1 (No Assistant)
Units
1 units @ $79.66 average per unit
Reimbursement
$79.66 total reimbursement
1$79.66$79.66
97140 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.70 average per unit
Reimbursement
$94.81 total reimbursement
4$94.81$23.70
97110 x 1 (No Assistant), 97140 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.42 average per unit
Reimbursement
$93.68 total reimbursement
4$93.68$23.42
97110 x 2 (No Assistant), 97161 x 1 (No Assistant)
Units
3 units @ $39.18 average per unit
Reimbursement
$117.54 total reimbursement
3$117.54$39.18
97110 x 2 (No Assistant)
Units
2 units @ $23.56 average per unit
Reimbursement
$47.12 total reimbursement
2$47.12$23.56
97110 x 1 (Assistant), 97112 x 2 (Assistant), 97530 x 2 (Assistant)
Units
5 units @ $27.72 average per unit
Reimbursement
$138.58 total reimbursement
5$138.58$27.72
97110 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $27.61 average per unit
Reimbursement
$110.45 total reimbursement
4$110.45$27.61
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $23.64 average per unit
Reimbursement
$94.55 total reimbursement
4$94.55$23.64
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
3 units @ $41.24 average per unit
Reimbursement
$123.71 total reimbursement
3$123.71$41.24
97110 x 3 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.52 average per unit
Reimbursement
$90.09 total reimbursement
4$90.09$22.52
97530 x 5 (No Assistant)
Units
5 units @ $29.81 average per unit
Reimbursement
$149.05 total reimbursement
5$149.05$29.81
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $24.09 average per unit
Reimbursement
$96.35 total reimbursement
4$96.35$24.09
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $23.54 average per unit
Reimbursement
$70.61 total reimbursement
3$70.61$23.54
97110 x 2 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $23.44 average per unit
Reimbursement
$93.78 total reimbursement
4$93.78$23.44
97140 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $27.68 average per unit
Reimbursement
$110.71 total reimbursement
4$110.71$27.68
97110 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
2 units @ $50.77 average per unit
Reimbursement
$101.55 total reimbursement
2$101.55$50.77

Top Healthcare Payers in Texas

More Texas Healthcare Payer Benchmarks

Aetna

$137.23

paid in 5 days
View 6 recent CPT Code Combinations

BCBS of Texas

$110.15

paid in 7 days
View 31 recent CPT Code Combinations

Medicare

$108.80

paid in 18 days
View 31 recent CPT Code Combinations

WellMed

$95.17

paid in 18 days
View 9 recent CPT Code Combinations

BCBS Texas Medicare Advantage

$88.20

paid in 6 days
View 4 recent CPT Code Combinations

American Therapy Administrators - ATA

$86.00

paid in 9 days
View 7 recent CPT Code Combinations

United Health Care

$81.29

paid in 21 days
View 27 recent CPT Code Combinations

Tricare East

$75.47

paid in 4 days
View 2 recent CPT Code Combinations

Humana

$71.50

paid in 22 days
View 7 recent CPT Code Combinations

AMERICAN SPECIALTY HEALTH

$68.07

paid in 21 days
View 7 recent CPT Code Combinations

CPT copyright 2023 American Medical Association.

All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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300
$100.00
70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,399.98 additional cash each month for your practice

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