Healthcare Payer Reimbursement Rates in South Carolina

Accepting healthcare payers in South Carolina shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Healthcare Payer Reimbursement Rates for Physical Therapy Practices in South Carolina

Physical Therapy Practice Benchmarks in South Carolina

First Pass Clean Claim Rate

The percentage of claims which meet standards for correct coding, modifiers, structure, and formatting on the first attempt.
Data refreshed 15 hours ago
99.40%
Latest
97.67%
Average
99.80%
Max
84.20%
Min

Denial Rate

The percentage of claims which are eventually denied by insurers, for a variety of possible reasons, including: patient policy information, exhausted benefits, authorization, limits, or provider status.
Data refreshed 15 hours ago
4.80%
Latest
7.69%
Average
12.40%
Max
4.30%
Min

Average Reimbursement Per Visit

While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can give you a general sense for reimbursement rates by looking at the aggregate data across StrataPT's customers.
Data refreshed 15 hours ago
$96.60
Latest
$161.58
Expected
$96.60
High
$161.58
Mean
$100.47
Low
$93.22
Median
$98.32

Top Healthcare Payers in South Carolina

Medicare of South Carolina

$111.52

paid in 14 days
View 70 recent CPT Code Combinations

BCBS of South Carolina

$109.29

paid in 13 days
View 26 recent CPT Code Combinations

United Health Care

$105.00

paid in 16 days
View 18 recent CPT Code Combinations

Cigna - RPN

$100.37

paid in 50 days
View 4 recent CPT Code Combinations

Historical

$100.00

paid in NaN days
View recent CPT Code Combinations

MedRisk

$99.17

paid in 45 days
View 2 recent CPT Code Combinations

Aetna

$93.15

paid in 9 days
View 27 recent CPT Code Combinations

Humana

$88.23

paid in 9 days
View 13 recent CPT Code Combinations

Tricare East

$86.97

paid in 7 days
View 21 recent CPT Code Combinations

Select Health of South Carolina

$80.90

paid in 46 days
View 2 recent CPT Code Combinations

Align Networks (One Call PT)

$73.13

paid in 91 days
View 2 recent CPT Code Combinations

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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Frequently Asked Questions

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Our team will walk you through our EMR and RCM products plus show you how we can increase your reimbursement to 99.99%!

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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

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