Where is this data coming from?

This data represents aggregated & anonymized data across PT, OT and SLP practices on StrataPT's EMR & RCM platforms.

What do the dashed lines represent?

We use dashed lines to represent data that is likely to change quite often.

What is the average First Pass Clean Claim Rate in Michigan?

The average First Pass Clean Claim Rate in Michigan is 92.26% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Michigan?

The average Denial Rate in Michigan is 14.32% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Michigan?

The expected Reimbursement Per Visit in Michigan is $107.87 for physical therapy, occupational therapy and speech language therapy practices.

What is Aetna OPT's average Reimbursement per Visit in Michigan?

The expected Reimbursement Per Visit in Michigan is $113.82 for physical therapy, occupational therapy and speech language therapy practices.

Aetna OPT Reimbursement Rates in Michigan

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

Aetna OPT Reimbursement Rates for Physical Therapy Practices in Michigan

Physical Therapy Practice Benchmarks in Michigan

Average Reimbursement Per Visit

While negotiated reimbursement rates between Aetna OPT and a healthcare provider are confidential, we can give you a general sense for Aetna OPT's reimbursement rates by looking at the aggregate data across StrataPT's customers.

$113.82

Latest

$104.50

Expected

$113.82

High

$135.17

Mean

$117.74

Low

$93.67

Median

$117.54

Recent Visit CPT Code Combinations

Data refreshed 14 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97116 x 1 (Assistant), 97530 x 1 (Assistant) Units 4 units @ $30.63 average per unit Reimbursement $122.54 total reimbursement	4	$122.54	$30.63
97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant) Units 4 units @ $32.84 average per unit Reimbursement $131.37 total reimbursement	4	$131.37	$32.84
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $32.05 average per unit Reimbursement $128.18 total reimbursement	4	$128.18	$32.05
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant) Units 4 units @ $31.38 average per unit Reimbursement $125.53 total reimbursement	4	$125.53	$31.38
97112 x 1 (No Assistant), 97530 x 1 (No Assistant), 97535 x 1 (No Assistant), 97535 x 1 (No Assistant) Units 4 units @ $32.18 average per unit Reimbursement $128.73 total reimbursement	4	$128.73	$32.18

Top Healthcare Payers in Michigan

BCBS of Michigan: $126.91
paid in 13 days
Priority Health: $122.87
paid in 10 days
Aetna OPT: $113.82
paid in 6 days
VA Community Care: $112.86
paid in 6 days
Blue Cross Blue Shield of Michigan (Medicare Advantage): $108.36
paid in 18 days
Medicare of Michigan (Part A) OPT: $105.37
paid in 16 days
Medicare Plus Blue of Michigan: $101.95
paid in 9 days
Medicare of Michigan: $101.26
paid in 22 days
Alliance Health and Life: $101.04
paid in 8 days
Medicare Plus Blue of Michigan OPT: $97.82
paid in 18 days
Humana: $88.75
paid in 10 days
Aetna: $88.50
paid in 8 days
Blue Care Network: $85.33
paid in 20 days
UHC: $82.52
paid in 20 days

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.

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

: This data represents aggregated & anonymized data across PT, OT and SLP practices on StrataPT's EMR & RCM platforms.
: We use dashed lines to represent data that is likely to change quite often.
: The average First Pass Clean Claim Rate in Michigan is 92.26% for physical therapy, occupational therapy and speech language therapy practices.
: The average Denial Rate in Michigan is 14.32% for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Michigan is $107.87 for physical therapy, occupational therapy and speech language therapy practices.
: The expected Reimbursement Per Visit in Michigan is $113.82 for physical therapy, occupational therapy and speech language therapy practices.

Aetna OPT Reimbursement Rates in Michigan

Aetna OPT Reimbursement Rates for Physical Therapy Practices in Michigan

Average Reimbursement Per Visit

While negotiated reimbursement rates between Aetna OPT and a healthcare provider are confidential, we can give you a general sense for Aetna OPT's reimbursement rates by looking at the aggregate data across StrataPT's customers.

Recent Visit CPT Code Combinations

Data refreshed 14 hours ago

Top Healthcare Payers in Michigan

BCBS of Michigan

Priority Health

Aetna OPT

VA Community Care

Blue Cross Blue Shield of Michigan (Medicare Advantage)

Medicare of Michigan (Part A) OPT

Medicare Plus Blue of Michigan

Medicare of Michigan

Alliance Health and Life

Medicare Plus Blue of Michigan OPT

Humana

Aetna

Blue Care Network

UHC

Healthcare Payer Reimbursement Rates by State

See How StrataPT Can Grow Your Practice

Book a Demo With the #1 Billing and EMR System

Built to Get You Paid

All-In-One Platform Built for Growth

AI-Powered Denial Prevention

Frequently Asked Questions

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