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Medicare Massachusetts Reimbursement Rates

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

Medicare Massachusetts Reimbursement Rates for Physical Therapy Practices in Massachusetts

Physical Therapy Practice Benchmarks in Massachusetts

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare Massachusetts and a healthcare provider are confidential, we can give you a general sense for Medicare Massachusetts's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$88.70
Latest
$86.22
Expected
$88.70
High
$91.78
Mean
$88.18
Low
$83.63
Median
$88.18

Recent Visit CPT Code Combinations

Data refreshed 8 hours ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 4 (No Assistant)
Units
4 units @ $23.14 average per unit
Reimbursement
$92.54 total reimbursement
4$92.54$23.14
97110 x 2 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $23.88 average per unit
Reimbursement
$71.65 total reimbursement
3$71.65$23.88
97110 x 3 (No Assistant), 97112 x 1 (No Assistant)
Units
4 units @ $24.46 average per unit
Reimbursement
$97.83 total reimbursement
4$97.83$24.46
97110 x 3 (Assistant)
Units
3 units @ $22.15 average per unit
Reimbursement
$66.45 total reimbursement
3$66.45$22.15
97110 x 4 (Assistant)
Units
4 units @ $21.77 average per unit
Reimbursement
$87.08 total reimbursement
4$87.08$21.77
97110 x 2 (Assistant), 97530 x 2 (Assistant)
Units
4 units @ $23.25 average per unit
Reimbursement
$93.00 total reimbursement
4$93.00$23.25
97110 x 2 (No Assistant)
Units
2 units @ $25.58 average per unit
Reimbursement
$51.15 total reimbursement
2$51.15$25.58
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $24.61 average per unit
Reimbursement
$98.45 total reimbursement
4$98.45$24.61
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $25.27 average per unit
Reimbursement
$101.09 total reimbursement
4$101.09$25.27
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $23.03 average per unit
Reimbursement
$69.10 total reimbursement
3$69.10$23.03
97110 x 2 (Assistant), 97140 x 2 (Assistant)
Units
4 units @ $21.32 average per unit
Reimbursement
$85.28 total reimbursement
4$85.28$21.32
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $23.34 average per unit
Reimbursement
$93.37 total reimbursement
4$93.37$23.34
97161 x 1 (No Assistant)
Units
1 units @ $99.82 average per unit
Reimbursement
$99.82 total reimbursement
1$99.82$99.82
97110 x 2 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.89 average per unit
Reimbursement
$91.57 total reimbursement
4$91.57$22.89
97110 x 3 (Assistant), 97112 x 1 (Assistant)
Units
4 units @ $22.61 average per unit
Reimbursement
$90.45 total reimbursement
4$90.45$22.61
97110 x 2 (Assistant), 97112 x 2 (Assistant)
Units
4 units @ $22.90 average per unit
Reimbursement
$91.59 total reimbursement
4$91.59$22.90
97110 x 1 (No Assistant), 97162 x 1 (No Assistant)
Units
2 units @ $61.46 average per unit
Reimbursement
$122.91 total reimbursement
2$122.91$61.46
97110 x 1 (Assistant), 97140 x 1 (Assistant)
Units
2 units @ $22.56 average per unit
Reimbursement
$45.11 total reimbursement
2$45.11$22.56
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $23.22 average per unit
Reimbursement
$69.65 total reimbursement
3$69.65$23.22
97110 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
2 units @ $25.01 average per unit
Reimbursement
$50.01 total reimbursement
2$50.01$25.01
97110 x 2 (Assistant), 97112 x 1 (Assistant)
Units
3 units @ $22.91 average per unit
Reimbursement
$68.74 total reimbursement
3$68.74$22.91
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.32 average per unit
Reimbursement
$105.30 total reimbursement
4$105.30$26.32
97110 x 2 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $24.42 average per unit
Reimbursement
$97.69 total reimbursement
4$97.69$24.42
97110 x 1 (No Assistant), 97140 x 3 (No Assistant)
Units
4 units @ $22.27 average per unit
Reimbursement
$89.10 total reimbursement
4$89.10$22.27
97110 x 1 (Assistant), 97112 x 1 (Assistant)
Units
2 units @ $25.00 average per unit
Reimbursement
$50.01 total reimbursement
2$50.01$25.00
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $25.77 average per unit
Reimbursement
$103.09 total reimbursement
4$103.09$25.77
97110 x 2 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $21.95 average per unit
Reimbursement
$87.81 total reimbursement
4$87.81$21.95
97162 x 1 (No Assistant)
Units
1 units @ $100.02 average per unit
Reimbursement
$100.02 total reimbursement
1$100.02$100.02
97140 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $23.54 average per unit
Reimbursement
$94.15 total reimbursement
4$94.15$23.54
97110 x 2 (No Assistant), 97161 x 1 (No Assistant)
Units
3 units @ $48.21 average per unit
Reimbursement
$144.62 total reimbursement
3$144.62$48.21
97110 x 3 (Assistant), 97530 x 1 (Assistant)
Units
4 units @ $22.76 average per unit
Reimbursement
$91.06 total reimbursement
4$91.06$22.76
97110 x 3 (No Assistant), 97116 x 1 (No Assistant)
Units
4 units @ $22.97 average per unit
Reimbursement
$91.87 total reimbursement
4$91.87$22.97
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $26.20 average per unit
Reimbursement
$78.61 total reimbursement
3$78.61$26.20
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $24.22 average per unit
Reimbursement
$72.65 total reimbursement
3$72.65$24.22
97110 x 1 (Assistant), 97140 x 3 (Assistant)
Units
4 units @ $20.76 average per unit
Reimbursement
$83.06 total reimbursement
4$83.06$20.76
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $24.11 average per unit
Reimbursement
$72.34 total reimbursement
3$72.34$24.11
97110 x 1 (Assistant), 97530 x 3 (Assistant)
Units
4 units @ $24.77 average per unit
Reimbursement
$99.08 total reimbursement
4$99.08$24.77
97110 x 2 (Assistant)
Units
2 units @ $23.01 average per unit
Reimbursement
$46.03 total reimbursement
2$46.03$23.01
97110 x 2 (No Assistant), 97112 x 1 (No Assistant)
Units
3 units @ $25.91 average per unit
Reimbursement
$77.73 total reimbursement
3$77.73$25.91
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $27.39 average per unit
Reimbursement
$82.17 total reimbursement
3$82.17$27.39
97110 x 2 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $21.64 average per unit
Reimbursement
$64.93 total reimbursement
3$64.93$21.64
97110 x 3 (No Assistant)
Units
3 units @ $24.39 average per unit
Reimbursement
$73.16 total reimbursement
3$73.16$24.39
97110 x 3 (Assistant), 97140 x 1 (Assistant)
Units
4 units @ $20.99 average per unit
Reimbursement
$83.98 total reimbursement
4$83.98$20.99
97110 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
2 units @ $59.15 average per unit
Reimbursement
$118.29 total reimbursement
2$118.29$59.15
97110 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $26.71 average per unit
Reimbursement
$80.12 total reimbursement
3$80.12$26.71

Top Healthcare Payers in Massachusetts

Blue Benefit Administrators

$124.01

paid in 19 days
View 5 recent CPT Code Combinations

Mass General Brigham

$112.96

paid in 20 days
View 4 recent CPT Code Combinations

Amerigroup

$108.23

paid in 16 days
View 3 recent CPT Code Combinations

Well Sense

$100.46

paid in 15 days
View 3 recent CPT Code Combinations

BCBS of Massachusetts

$97.35

paid in 10 days
View 60 recent CPT Code Combinations

Medicare Massachusetts

$88.70

paid in 16 days
View 45 recent CPT Code Combinations

Aetna

$79.23

paid in 9 days
View 2 recent CPT Code Combinations

Harvard Pilgrim

$78.00

paid in 14 days
View 11 recent CPT Code Combinations

American Specialty Health

$73.48

paid in 42 days
View 4 recent CPT Code Combinations

UHC

$71.33

paid in 30 days
View 11 recent CPT Code Combinations

Tufts

$70.93

paid in 19 days
View 5 recent CPT Code Combinations

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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