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Healthcare Payer Reimbursement Rates in Massachusetts

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

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in Massachusetts

Physical Therapy Practice Benchmarks in Massachusetts

First Pass Clean Claim Rate

The percentage of claims which meet standards for correct coding, modifiers, structure, and formatting on the first attempt.
Data refreshed 16 hours ago
96.00%
Latest
98.63%
Average
99.80%
Max
90.70%
Min

Denial Rate

The percentage of claims which are eventually denied by insurers, for a variety of possible reasons, including: patient policy information, exhausted benefits, authorization, limits, or provider status.
Data refreshed 17 hours ago
1.80%
Latest
7.00%
Average
11.80%
Max
1.80%
Min

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.
Data refreshed 16 hours ago
$90.07
Latest
$105.11
Expected
$90.07
High
$121.31
Mean
$88.45
Low
$81.28
Median
$87.55

Top Healthcare Payers in Massachusetts

Mass General Brigham Health Plan

$133.11

paid in 20 days

Blue Benefit Administrators

$113.41

paid in 19 days

Amerigroup

$113.18

paid in 16 days

Aetna

$92.51

paid in 7 days

BCBS of Massachusetts

$92.45

paid in 10 days

Medicare Massachusetts

$86.63

paid in 17 days

Harvard Pilgrim

$83.03

paid in 14 days

UHC

$81.48

paid in 72 days

Well Sense

$79.19

paid in 15 days

Tufts

$66.35

paid in 15 days

American Specialty Health

$60.00

paid in 42 days

CPT copyright 2025 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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Frequently Asked Questions

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