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 New York?

The average First Pass Clean Claim Rate in New York is 91.67% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in New York?

The average Denial Rate in New York is 14.78% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $88.15 for physical therapy, occupational therapy and speech language therapy practices.

What is BCBS New York's average Reimbursement per Visit in New York?

The expected Reimbursement Per Visit in New York is $70.44 for physical therapy, occupational therapy and speech language therapy practices.

BCBS New York Reimbursement Rates

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

BCBS New York Reimbursement Rates for Physical Therapy Practices in New York

Physical Therapy Practice Benchmarks in New York

Average Reimbursement Per Visit

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

$70.44

Latest

$73.55

Expected

$70.44

High

$93.09

Mean

$73.61

Low

$62.44

Median

$71.49

Recent Visit CPT Code Combinations

Data refreshed 19 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $19.52 average per unit Reimbursement $78.06 total reimbursement	4	$78.06	$19.52
97110 x 4 (No Assistant) Units 4 units @ $18.75 average per unit Reimbursement $75.00 total reimbursement	4	$75.00	$18.75
97010 x 1 (No Assistant), 97110 x 2 (No Assistant), 97530 x 1 (No Assistant), G0283 x 1 (No Assistant) Units 5 units @ $13.00 average per unit Reimbursement $65.00 total reimbursement	5	$65.00	$13.00
97110 x 2 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $50.16 average per unit Reimbursement $200.64 total reimbursement	4	$200.64	$50.16
97140 x 2 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $18.75 average per unit Reimbursement $75.00 total reimbursement	4	$75.00	$18.75
97110 x 3 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $17.77 average per unit Reimbursement $71.09 total reimbursement	4	$71.09	$17.77
97140 x 1 (No Assistant), 97530 x 2 (No Assistant), 97535 x 1 (No Assistant) Units 4 units @ $18.75 average per unit Reimbursement $75.00 total reimbursement	4	$75.00	$18.75
97110 x 1 (No Assistant), 97112 x 1 (No Assistant) Units 2 units @ $2.08 average per unit Reimbursement $4.17 total reimbursement	2	$4.17	$2.08
29540 x 1 (No Assistant), 97110 x 2 (No Assistant), 97112 x 1 (No Assistant) Units 4 units @ $18.31 average per unit Reimbursement $73.24 total reimbursement	4	$73.24	$18.31
29520 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $18.25 average per unit Reimbursement $73.00 total reimbursement	4	$73.00	$18.25
97110 x 2 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $18.17 average per unit Reimbursement $72.69 total reimbursement	4	$72.69	$18.17
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $20.15 average per unit Reimbursement $80.60 total reimbursement	4	$80.60	$20.15
97140 x 2 (No Assistant) Units 2 units @ $28.85 average per unit Reimbursement $57.69 total reimbursement	2	$57.69	$28.85
97530 x 2 (No Assistant) Units 2 units @ $23.04 average per unit Reimbursement $46.08 total reimbursement	2	$46.08	$23.04
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $18.75 average per unit Reimbursement $75.00 total reimbursement	4	$75.00	$18.75
97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 2 units @ $36.11 average per unit Reimbursement $72.22 total reimbursement	2	$72.22	$36.11
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 2 (No Assistant) Units 5 units @ $12.30 average per unit Reimbursement $61.50 total reimbursement	5	$61.50	$12.30
97110 x 1 (No Assistant), 97140 x 2 (No Assistant) Units 3 units @ $24.17 average per unit Reimbursement $72.52 total reimbursement	3	$72.52	$24.17
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $23.33 average per unit Reimbursement $93.34 total reimbursement	4	$93.34	$23.33
97140 x 1 (No Assistant), 97530 x 3 (No Assistant) Units 4 units @ $18.75 average per unit Reimbursement $75.00 total reimbursement	4	$75.00	$18.75
97161 x 1 (No Assistant) Units 1 units @ $76.39 average per unit Reimbursement $76.39 total reimbursement	1	$76.39	$76.39
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 3 units @ $25.00 average per unit Reimbursement $75.00 total reimbursement	3	$75.00	$25.00
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97164 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $19.88 average per unit Reimbursement $79.52 total reimbursement	4	$79.52	$19.88
97530 x 4 (No Assistant) Units 4 units @ $20.79 average per unit Reimbursement $83.17 total reimbursement	4	$83.17	$20.79

Top Healthcare Payers in New York

1199 SEIU: $167.47
paid in 75 days
Aetna (Zaya): $160.82
paid in 155 days
Medicare of New York: $122.17
paid in 16 days
Geico: $122.05
paid in 87 days
AllState: $118.99
paid in 45 days
Medicare of New York (Queens): $117.51
paid in 16 days
Fidelis Care: $102.87
paid in 26 days
UHC: $92.60
paid in 25 days
BCBS of Western NY (Highmark) - Health Now: $87.60
paid in 14 days
Univera: $87.18
paid in 9 days
American Specialty Health: $76.92
paid in 26 days
Healthfirst of NY: $76.90
paid in 12 days
United Health Care (Oxford): $74.77
paid in 28 days
Empire Plan NYSHIP: $73.88
paid in 10 days
Anthem BCBS: $71.69
paid in 10 days
BCBS New York: $70.44
paid in 64 days
Medicare of New York (Upstate): $67.44
paid in 16 days
Emblem Health: $66.71
paid in 41 days
Aetna: $59.23
paid in 7 days
Independent Health: $55.03
paid in 25 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

BCBS New York Reimbursement Rates

BCBS New York Reimbursement Rates for Physical Therapy Practices in New York

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 19 hours ago

Top Healthcare Payers in New York

1199 SEIU

Aetna (Zaya)

Medicare of New York

Geico

AllState

Medicare of New York (Queens)

Fidelis Care

UHC

BCBS of Western NY (Highmark) - Health Now

Univera

American Specialty Health

Healthfirst of NY

United Health Care (Oxford)

Empire Plan NYSHIP

Anthem BCBS

BCBS New York

Medicare of New York (Upstate)

Emblem Health

Aetna

Independent Health

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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