What does insurance pay for CPT 97110 in Texas?
Anonymized historical claim benchmarks for therapeutic exercise in Texas. Actual payment varies by payer, contract terms, modifiers, and documentation.
Updated November 8, 2026
Quick answer
In Texas, insurers paid a median of $22 for CPT 97110 (therapeutic exercise), with the middle half of payments between $21 and $22. This is based on a small sample of anonymized claims from Nov 2025 – Nov 2026. The median allowed amount was $22.
How these numbers are calculated
Based on anonymized claims from practices over Nov 2025 – Nov 2026.
These numbers reflect anonymized historical claim patterns and are not a guarantee of future payment. Actual reimbursement varies by payer, contract terms, modifiers, and documentation.
Historical payment range
How billed, allowed, and paid amounts distribute across the sample.
| Metric | Average | Median |
|---|---|---|
| Billed amount | $31 | $31 |
| Allowed amount | $23 | $22 |
| Paid amount | $18 | $22 |
Time to payment
Days from the date of service to the insurance payment, across paid claims in this sample.
Frequently asked questions
What does insurance pay for CPT 97110 in Texas?+
In Texas, insurers paid a median of $22 for CPT 97110 (therapeutic exercise), with the middle half of payments between $21 and $22. This is based on a small sample of anonymized claims from Nov 2025 – Nov 2026. The median allowed amount was $22.
What is the difference between the allowed amount and the paid amount?+
The allowed amount is what the plan recognizes for the service under its contract or fee schedule (median $22 here). The paid amount is what the insurer actually paid after the patient's deductible, copay, or coinsurance (median $22). The difference is generally collected from the patient.
How long do insurers take to pay CPT 97110 claims in Texas?+
For paid claims in this sample, the median time from date of service to insurance payment was 10 days.
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.
Are these numbers a guarantee of payment?+
No. They are anonymized historical benchmarks from claims processed through Soundry. Actual payment depends on the payer, plan, contract, modifiers, and documentation.
Related reimbursement pages
Explore other CPT codes and states with anonymized historical benchmarks.
- 97110 · Therapeutic exerciseCPT 97110 reimbursement in Florida
Physical Therapy benchmarks for Therapeutic exercise in Florida.
- 97110 · Therapeutic exerciseCPT 97110 reimbursement in Kentucky
Physical Therapy benchmarks for Therapeutic exercise in Kentucky.
- 97140 · Manual therapyCPT 97140 reimbursement in Texas
Physical Therapy benchmarks for Manual therapy in Texas.
- 97110 · Therapeutic exerciseCPT 97110 reimbursement in Illinois
Physical Therapy benchmarks for Therapeutic exercise in Illinois.
- 97110 · Therapeutic exerciseCPT 97110 reimbursement in Wisconsin
Physical Therapy benchmarks for Therapeutic exercise in Wisconsin.
- 97110 · Therapeutic exerciseCPT 97110 reimbursement in Iowa
Physical Therapy benchmarks for Therapeutic exercise in Iowa.
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