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 Washington?

The average First Pass Clean Claim Rate in Washington is 89.70% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Denial Rate in Washington?

The average Denial Rate in Washington is 10.85% for physical therapy, occupational therapy and speech language therapy practices.

What is the average Reimbursement per Visit in Washington?

The expected Reimbursement Per Visit in Washington is $92.84 for physical therapy, occupational therapy and speech language therapy practices.

What is Regence Blue Shield of WA's average Reimbursement per Visit in Washington?

The expected Reimbursement Per Visit in Washington is $109.06 for physical therapy, occupational therapy and speech language therapy practices.

Regence Blue Shield of WA Reimbursement Rates

Accepting Regence Blue Shield of WA shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Regence Blue Shield of WA Reimbursement Rates for Physical Therapy Practices in Washington

Physical Therapy Practice Benchmarks in Washington

Average Reimbursement Per Visit

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

$109.06

Latest

$108.23

Expected

$109.06

High

$131.99

Mean

$112.01

Low

$97.05

Median

$111.51

Recent Visit CPT Code Combinations

Data refreshed 19 hours ago

Codes and Units	Units	Total Reimbursement	Average Per Unit
97014 x 1 (No Assistant), 97035 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $21.22 average per unit Reimbursement $84.88 total reimbursement	4	$84.88	$21.22
97110 x 2 (No Assistant), 97530 x 2 (No Assistant) Units 4 units @ $33.99 average per unit Reimbursement $135.94 total reimbursement	4	$135.94	$33.99
97014 x 1 (No Assistant), 97110 x 2 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $25.10 average per unit Reimbursement $100.41 total reimbursement	4	$100.41	$25.10
97110 x 2 (No Assistant), 97140 x 2 (No Assistant) Units 4 units @ $28.81 average per unit Reimbursement $115.24 total reimbursement	4	$115.24	$28.81
97110 x 4 (No Assistant) Units 4 units @ $30.02 average per unit Reimbursement $120.08 total reimbursement	4	$120.08	$30.02
97110 x 3 (No Assistant), 97140 x 1 (No Assistant) Units 4 units @ $29.42 average per unit Reimbursement $117.66 total reimbursement	4	$117.66	$29.42
97014 x 1 (No Assistant), 97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant) Units 4 units @ $27.09 average per unit Reimbursement $108.34 total reimbursement	4	$108.34	$27.09

Top Healthcare Payers in Washington

Premera Blue Cross of WA: $111.14
paid in 15 days
Regence Blue Shield of WA: $109.06
paid in 29 days
United Health Care: $63.43
paid in 27 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.

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Healthcare Payer Reimbursement Rates by State

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