BCBS of New Jersey Reimbursement Rates

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

BCBS of New Jersey Reimbursement Rates for Physical Therapy Practices in New Jersey

Physical Therapy Practice Benchmarks in New Jersey

Average Reimbursement Per Visit

While negotiated reimbursement rates between BCBS of New Jersey and a healthcare provider are confidential, we can give you a general sense for BCBS of New Jersey's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$78.02
Latest
$68.86
Expected
$78.02
High
$86.53
Mean
$74.44
Low
$67.06
Median
$71.85

Recent Visit CPT Code Combinations

Data refreshed 1 day ago
Codes and Units Units Total Reimbursement Average Per Unit
97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $26.40 average per unit
Reimbursement
$79.19 total reimbursement
3$79.19$26.40
97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $26.33 average per unit
Reimbursement
$79.00 total reimbursement
3$79.00$26.33
97110 x 4 (No Assistant), 97140 x 1 (No Assistant)
Units
5 units @ $15.80 average per unit
Reimbursement
$79.00 total reimbursement
5$79.00$15.80
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $26.33 average per unit
Reimbursement
$79.00 total reimbursement
3$79.00$26.33
97110 x 1 (No Assistant), 97140 x 2 (No Assistant)
Units
3 units @ $25.78 average per unit
Reimbursement
$77.33 total reimbursement
3$77.33$25.78
97110 x 3 (No Assistant)
Units
3 units @ $26.33 average per unit
Reimbursement
$79.00 total reimbursement
3$79.00$26.33
97140 x 1 (No Assistant)
Units
1 units @ $24.73 average per unit
Reimbursement
$24.73 total reimbursement
1$24.73$24.73
97112 x 1 (No Assistant), 97140 x 2 (No Assistant)
Units
3 units @ $26.33 average per unit
Reimbursement
$79.00 total reimbursement
3$79.00$26.33
97110 x 2 (No Assistant)
Units
2 units @ $27.17 average per unit
Reimbursement
$54.34 total reimbursement
2$54.34$27.17
97110 x 2 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $19.75 average per unit
Reimbursement
$79.00 total reimbursement
4$79.00$19.75
97035 x 1 (No Assistant), 97110 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $19.58 average per unit
Reimbursement
$78.33 total reimbursement
4$78.33$19.58
97110 x 3 (Assistant), 97140 x 2 (Assistant)
Units
5 units @ $15.75 average per unit
Reimbursement
$78.76 total reimbursement
5$78.76$15.75
97014 x 1 (Assistant), 97110 x 3 (Assistant), 97140 x 2 (Assistant)
Units
6 units @ $13.05 average per unit
Reimbursement
$78.29 total reimbursement
6$78.29$13.05
97014 x 1 (Assistant), 97110 x 4 (Assistant), 97140 x 2 (Assistant), 97530 x 2 (Assistant)
Units
9 units @ $8.78 average per unit
Reimbursement
$79.00 total reimbursement
9$79.00$8.78
97110 x 3 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
5 units @ $15.80 average per unit
Reimbursement
$79.00 total reimbursement
5$79.00$15.80
97110 x 2 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $19.75 average per unit
Reimbursement
$79.00 total reimbursement
4$79.00$19.75
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 2 (No Assistant)
Units
5 units @ $15.47 average per unit
Reimbursement
$77.33 total reimbursement
5$77.33$15.47
97014 x 1 (No Assistant), 97035 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $17.31 average per unit
Reimbursement
$51.94 total reimbursement
3$51.94$17.31
97014 x 1 (Assistant), 97110 x 4 (Assistant), 97140 x 2 (Assistant)
Units
7 units @ $11.29 average per unit
Reimbursement
$79.00 total reimbursement
7$79.00$11.29
97110 x 1 (No Assistant), 97112 x 1 (No Assistant), 97140 x 2 (No Assistant)
Units
4 units @ $18.92 average per unit
Reimbursement
$75.67 total reimbursement
4$75.67$18.92
97165 x 1 (No Assistant)
Units
1 units @ $78.09 average per unit
Reimbursement
$78.09 total reimbursement
1$78.09$78.09
97112 x 2 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $26.33 average per unit
Reimbursement
$79.00 total reimbursement
3$79.00$26.33
97110 x 3 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $19.67 average per unit
Reimbursement
$78.66 total reimbursement
4$78.66$19.67
97014 x 1 (Assistant), 97110 x 3 (Assistant), 97140 x 2 (Assistant), 97530 x 2 (Assistant)
Units
8 units @ $9.88 average per unit
Reimbursement
$79.00 total reimbursement
8$79.00$9.88
97035 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
3 units @ $21.91 average per unit
Reimbursement
$65.72 total reimbursement
3$65.72$21.91
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
4 units @ $19.66 average per unit
Reimbursement
$78.65 total reimbursement
4$78.65$19.66
97110 x 1 (No Assistant), 97140 x 1 (No Assistant)
Units
2 units @ $26.39 average per unit
Reimbursement
$52.78 total reimbursement
2$52.78$26.39
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $26.24 average per unit
Reimbursement
$78.71 total reimbursement
3$78.71$26.24
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97161 x 1 (No Assistant)
Units
3 units @ $42.25 average per unit
Reimbursement
$126.74 total reimbursement
3$126.74$42.25
97110 x 4 (Assistant), 97140 x 2 (Assistant)
Units
6 units @ $13.11 average per unit
Reimbursement
$78.64 total reimbursement
6$78.64$13.11
97110 x 2 (No Assistant), 97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
5 units @ $15.72 average per unit
Reimbursement
$78.62 total reimbursement
5$78.62$15.72

Top Healthcare Payers in New Jersey

Medicare of New York

$116.31

paid in 16 days

AMERICAN SPECIALTY HEALTH

$110.65

paid in 23 days

Align Networks (One Call PT)

$93.20

paid in 50 days

Medicare of New Jersey

$85.18

paid in 16 days

MedRisk

$78.57

paid in 114 days

BCBS of New Jersey

$78.02

paid in 26 days

United Health Care

$72.44

paid in 19 days

Aetna

$55.74

paid in 8 days

Horizon NJ Health

$44.96

paid in 15 days

CPT copyright 2023 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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300
$100.00
70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,397.21 additional cash each month for your practice