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 Tennessee?

The average First Pass Clean Claim Rate in Tennessee is 92.88% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Tennessee?

The average Denial Rate in Tennessee is 9.97% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Tennessee?

The expected Reimbursement Per Visit in Tennessee is $107.29 for physical therapy, occupational therapy and speech language therapy practices.

What is Aetna's average Reimbursement per Visit in Tennessee?

The expected Reimbursement Per Visit in Tennessee is $72.20 for physical therapy, occupational therapy and speech language therapy practices.

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Aetna Reimbursement Rates in Tennessee

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

Aetna Reimbursement Rates for Physical Therapy Practices in Tennessee

Physical Therapy Practice Benchmarks in Tennessee

Average Reimbursement Per Visit

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

$72.20

Latest

$79.43

Expected

$72.20

High

$117.02

Mean

$82.25

Low

$60.39

Median

$83.18

Recent Visit CPT Code Combinations

Data refreshed 5 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant) Units 4 units @ $20.50 average per unit Reimbursement $82.02 total reimbursement	4	$82.02	$20.50
97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97110 x 1 (No Assistant), 97116 x 1 (No Assistant) Units 4 units @ $19.82 average per unit Reimbursement $79.26 total reimbursement	4	$79.26	$19.82
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $15.51 average per unit Reimbursement $62.04 total reimbursement	4	$62.04	$15.51

Top Healthcare Payers in Tennessee

VA Community Care: $133.28
paid in 7 days
BCBS of Tennessee: $128.16
paid in 14 days
Medicare of Tennessee: $111.60
paid in 14 days
Humana: $85.18
paid in 18 days
Align Networks (One Call PT): $84.02
paid in 28 days
Blue Care- Medicaid HMO: $80.93
paid in 16 days
Aetna: $72.20
paid in 6 days
American Specialty Health: $71.70
paid in 18 days
UHC: $58.47
paid in 36 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

Aetna Reimbursement Rates in Tennessee

Aetna Reimbursement Rates for Physical Therapy Practices in Tennessee

Average Reimbursement Per Visit

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

Recent Visit CPT Code Combinations

Data refreshed 5 hours ago

Top Healthcare Payers in Tennessee

VA Community Care

BCBS of Tennessee

Medicare of Tennessee

Humana

Align Networks (One Call PT)

Blue Care- Medicaid HMO

Aetna

American Specialty Health

UHC

Healthcare Payer Reimbursement Rates by State

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Frequently Asked Questions

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