How much does insurance pay for CPT 97110?
Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength, endurance, range of motion, and flexibility. Anonymized historical insurance payments by state, from claims processed through Soundry.
Quick answer
Across the 8 states with published Soundry benchmarks, the median insurance payment for CPT 97110 (therapeutic exercise) ranges from $0 in Florida to $80 in New York. Payment depends on the state, payer, and plan.
CPT 97110 insurance payments by state
Paid amounts are what insurers paid after patient cost sharing. The middle 50% shows the range between the 25th and 75th percentile.
| State | Median paid | Middle 50% paid | Median allowed | Sample |
|---|---|---|---|---|
| Florida | $0 | $0 – $18 | $18 | 100–249 claims |
| Illinois | $22 | $22 – $22 | $22 | 250+ claims |
| Iowa | $21 | $21 – $21 | $21 | fewer than 50 claims |
| Kentucky | $21 | $8 – $22 | $22 | 100–249 claims |
| New Jersey | $24 | $0 – $30 | $59 | 50–99 claims |
| New York | $80 | $31 – $135 | $86 | 250+ claims |
| Texas | $22 | $21 – $22 | $22 | fewer than 50 claims |
| Wisconsin | $22 | $22 – $22 | $22 | fewer than 50 claims |
How CPT 97110 is billed
CPT 97110 and 97140 are timed codes billed per 15 minutes. When billed on the same day as chiropractic manipulation, payers commonly require modifier 59 (or an X modifier) on 97140 and treatment of a separate region.
Related physical therapy codes
Frequently asked questions
How much does insurance pay for CPT 97110?+
Across the 8 states with published Soundry benchmarks, the median insurance payment for CPT 97110 (therapeutic exercise) ranges from $0 in Florida to $80 in New York. Payment depends on the state, payer, and plan.
How is CPT 97110 billed?+
CPT 97110 and 97140 are timed codes billed per 15 minutes. When billed on the same day as chiropractic manipulation, payers commonly require modifier 59 (or an X modifier) on 97140 and treatment of a separate region.
Where do these numbers come from?+
They are anonymized, aggregated insurance payments from claims processed through Soundry. A state is published only when it has enough claims from multiple practices, and individual practices, payer contracts, and claims are never shown.
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